Liza Pacheco, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

100 Cummings Ctr Ste 146Q
Beverly, MA 01915-6135

Phone

(978) 203-9060

NPI assigned

Oct 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Juvo Behavioral Health of Massachusetts LLC

  • Behavior Analyst
  • Wilmington, MA
  • NPI 1265949754
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1952908550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 COMMONWEALTH RD",
            "city": "EAST LYNN",
            "state": "MA",
            "postal_code": "019042067",
            "telephone_number": "978-317-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 146Q",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156135",
            "telephone_number": "978-203-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "LIZA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Grace Avila Otte, FNP-C
• Emily Ottinger
• Courtney Sarah Ouellette
• Erica Owen, FNP-BC
• Debra Pacheco, B.S.
• Jessica Padre, M.S.
• Emily Hughes Page, LMHC
• Steven Mark Page
• Cassie Pages
• Kristine Grace Paglia

• Behavior Analyst in Beverly, MA
• Providers in Beverly, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.