Active NPI
Ashley Bourdon, BCBA
- Behavior Analyst
- Attleboro, MA
National Provider Identifier
1922867928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 10000888
- Practice address
- 607 Pleasant St
Attleboro, MA 02703-2570 - Phone
- (884) 825-5222
- NPI assigned
- Mar 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 10000888 | MA | Primary |
Addresses
Primary practice location
607 Pleasant St
Attleboro, MA 02703-2570
Mailing address
554 Coe St
Woonsocket, RI 02895-6269
Phone (401) 230-4534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000888 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1922867928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 COE ST",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956269",
"telephone_number": "401-230-4534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 PLEASANT ST",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027032570",
"telephone_number": "884-825-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURDON",
"first_name": "ASHLEY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-13",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "10000888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.