Early Steps Intervention Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EARLY STEPS INTERVENTION INC

Practice address

101 Billerica Ave
North Billerica, MA 01862-1271

Phone

(774) 329-0211

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Victor Wahome

Title

Director

Phone

(774) 329-0211

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1902404072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BILLERICA AVE",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018621271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BILLERICA AVE",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018621271",
            "telephone_number": "774-329-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY STEPS INTERVENTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "WAHOME",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "774-329-0211"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in North Billerica, MA
• Providers in North Billerica, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.