Organization Active NPI

Our Child Therapy Ma LLC

  • Behavior Analyst
  • Boston, MA
National Provider Identifier
1972221786
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
OUR CHILD THERAPY MA LLC
Practice address
867 Boylson Street
Boston, MA 02116
Phone
(917) 974-9300
NPI assigned
Aug 17, 2022
Organization subpart
Yes
Parent organization
OUR CHILD THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Mashe Moshe
Title
Owner
Phone
(848) 226-4806

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

867 Boylson Street
Boston, MA 02116

Mailing address

211 Blvd of the Americas
Suite 303
Lakewood, NJ 08701
Phone (917) 974-9300

National Provider Directory

National Provider Directory
Part of
Our Child Therapy

Locations

211 Boulevard of Americas
Ste 303
Lakewood, NJ 08701
Phone (917) 974-9300

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1972221786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BLVD OF THE AMERICAS",
            "address_2": "SUITE 303",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "917-974-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 BOYLSON STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "917-974-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR CHILD THERAPY MA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR CHILD THERAPY LLC",
        "enumeration_date": "2022-08-17",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "MOSHE",
        "authorized_official_first_name": "MASHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-226-4806"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, 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.

Verify at the official NPI Registry.