Individual provider Active NPI

Veronica Taylor, BACHELOR IN SCIENCE

  • Behavior Technician
  • Springfield, MA
National Provider Identifier
1972100162
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
S77714632 Issued in MA
Practice address
90 Carando Dr
Springfield, MA 01104-4205
Phone
(413) 865-6919
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X S77714632 MA Primary

Addresses

Primary practice location

90 Carando Dr
Springfield, MA 01104-4205

Mailing address

90 Carando Dr
Springfield, MA 01104-4205
Phone (413) 306-0582

Other practice location 1

444 Montgomery St
Chicopee, MA 01020-1969
Phone (413) 594-3111

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
S77714632MAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1972100162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CARANDO DR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011044205",
            "telephone_number": "413-306-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CARANDO DR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011044205",
            "telephone_number": "413-865-6919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Montgomery St",
            "address_purpose": "LOCATION",
            "city": "Chicopee",
            "state": "MA",
            "postal_code": "010201969",
            "country_code": "US",
            "telephone_number": "413-594-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "VERONICA",
        "credential": "BACHELOR IN SCIENCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MA",
            "license": "S77714632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.