Baleigh Elizabeth Holland

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

152 Sylvan St Ste 102
Danvers, MA 01923-3558

Phone

(781) 966-5770

Fax

(774) 213-5479

NPI assigned

Sep 22, 2020

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Puddingstone Place, LLC

  • Speech-Language Pathologist
  • Middleboro, MA
  • NPI 1477054419
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2020.

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1902412232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 E GROVE ST STE 102",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461816",
            "telephone_number": "781-966-5770",
            "fax_number": "774-213-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SYLVAN ST STE 102",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233558",
            "telephone_number": "781-966-5770",
            "fax_number": "774-213-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "BALEIGH",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Danvers",
            "affiliation": "N",
            "address_1": "152 Sylvan St Ste 102",
            "city": "Danvers",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019233558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Anne-Madore Hodges, MS, CGC
• Jane Hodsdon
• Sarah Menoyo Holch, LICSW
• Holistic Recovery LLC
• Heidi Anna Holiver, NP
• Brianna Holmes, DPT, PT
• Tianna Holt
• Danielle Brie Honan, LMT
• Tara Marie Hood
• Chantal Nicole Horgan

• All providers in Danvers, MA
• Behavior Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.