Individual provider Active NPI

Tristan Kane Webbe, BCBA, LABA

  • Behavior Analyst
  • Hudson, MA
National Provider Identifier
1942949334
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2764 Issued in MA
Practice address
2 Coolidge St
Hudson, MA 01749-1459
Phone
(978) 568-8800
NPI assigned
Jun 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2764 MA Primary

Addresses

Primary practice location

2 Coolidge St
Hudson, MA 01749-1459

Mailing address

2 Coolidge St
Hudson, MA 01749-1459
Phone (978) 568-8800

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@ictconnects.com Direct

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

LicenseStateTypeSpecialty
2764MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Childrens Therapies CurrentSince Jun 5, 2022 Accepting new patients
Integrated Children'S Therapies, Inc. CurrentSince Jun 5, 2022 Accepting new patients

Locations

2 Coolidge St
Hudson, MA 01749
Phone (888) 262-6223

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1942949334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COOLIDGE ST",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017491459",
            "telephone_number": "978-568-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COOLIDGE ST",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017491459",
            "telephone_number": "978-568-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBE",
        "first_name": "TRISTAN",
        "middle_name": "KANE",
        "credential": "BCBA, LABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@ictconnects.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Coolidge St",
            "city": "Hudson",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017491459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hudson, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.