Active NPI
Shannon Doucette, MS BCBA LABA
- Behavior Analyst
- South Weymouth, MA
National Provider Identifier
1922870609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LABA10000458
- Practice address
- 123 Gas Light Dr
Apt 9
South Weymouth, MA 02190 - Phone
- (781) 258-6243
- NPI assigned
- Oct 25, 2023
- 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 | LABA10000458 | MA | Primary |
Addresses
Primary practice location
123 Gas Light Dr
Apt 9
South Weymouth, MA 02190
Mailing address
123 Gas Light Dr
South Weymouth, MA 02190-2140
Phone (781) 258-6243
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LABA10000458 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1922870609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 GAS LIGHT DR",
"city": "SOUTH WEYMOUTH",
"state": "MA",
"postal_code": "021902140",
"telephone_number": "781-258-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 GAS LIGHT DR",
"address_2": "APT 9",
"city": "SOUTH WEYMOUTH",
"state": "MA",
"postal_code": "02190",
"telephone_number": "781-258-6243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUCETTE",
"first_name": "SHANNON",
"credential": "MS BCBA LABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-25",
"last_updated": "2023-10-25",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "LABA10000458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.