NPIMap

Organization Active NPI

Imprints ABA Services

  • Behavior Analyst
  • Raynham, MA
National Provider Identifier
1932853256
Registry record updated Feb 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
IMPRINTS ABA SERVICES
Practice address
8 Blue Jay LN
Raynham, MA 02767-6139
Phone
(339) 788-7980
NPI assigned
Feb 6, 2022
Organization subpart
Yes
Parent organization
IMPRINTS ABA SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2022

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

Authorized official

Name
Cory Mitchell, MS, BCBA, LABANPI 1134598519
Title
Owner, Bcba, Laba
Phone
(339) 788-7980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

8 Blue Jay LN
Raynham, MA 02767-6139

Mailing address

8 Blue Jay LN
Raynham, MA 02767-6139
Phone (339) 788-7980

National Provider Directory

National Provider Directory
Part of
Imprints ABA Services

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644105600000",
    "number": "1932853256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BLUE JAY LN",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027676139",
            "telephone_number": "339-788-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BLUE JAY LN",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027676139",
            "telephone_number": "339-788-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRINTS ABA SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMPRINTS ABA SERVICES",
        "enumeration_date": "2022-02-06",
        "last_updated": "2022-02-06",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "OWNER, BCBA, LABA",
        "authorized_official_telephone_number": "339-788-7980",
        "authorized_official_credential": "MS, BCBA, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raynham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2022; 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.