Bay State ABA, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BAY STATE ABA, LLC

Practice address

40 Tremont St Ste 63
Duxbury, MA 02332-5316

Phone

(781) 987-4107

Fax

(866) 389-7486

NPI assigned

Mar 21, 2019

Last updated

Sep 16, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Despier, LABANPI 1861753683

Title

Owner, Laba

Phone

(781) 987-4107

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Despier

  • Behavior Analyst
  • Duxbury, MA
  • NPI 1861753683
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1902366479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TREMONT ST STE 63",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023325316",
            "telephone_number": "781-987-4107",
            "fax_number": "866-389-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 TREMONT ST STE 63",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023325316",
            "telephone_number": "781-987-4107",
            "fax_number": "866-389-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY STATE ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "DESPIER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER, LABA",
        "authorized_official_telephone_number": "781-987-4107",
        "authorized_official_credential": "LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Penelope Aviles Solis, D.C.
• Bane Bay Path, LLC (Bay Path at Duxbury Nursing and Rehabilitation Center)
• Kathleen A.L. Barber, LMHC
• Bruce Edward Barrett, MA
• David Baston, PT
• Julianne Bellinghausen
• Crystal Jeanne Belluso, MOT OTR/L
• Larsen K Bergen, M.A.
• Better Body U Physical Therapy, LLC
• Mark Bilton, LMHC

• Behavior Analyst in Duxbury, MA
• Providers in Duxbury, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.