Nicole Bertsch, BCBA, LABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

4055 Issued in MA

Practice address

45 Pond St
Norwell, MA 02061-1627

Phone

(781) 421-6182

NPI assigned

Jun 14, 2022

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 14, 2022.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1972233740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 TURTLE BROOK RD",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 POND ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611627",
            "telephone_number": "781-421-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTSCH",
        "first_name": "NICOLE",
        "credential": "BCBA, LABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "4055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence F. Berley, M.D.
• Bruce Z Berman, M.ED.,LMHC., LADC.
• Samantha Bernardi
• Jennifer Kathryn Bertoncini, L.I.C.S.W.
• Alicia A. Bertoni-Hickey, D.P.T.
• Jennifer Besarick, LICSW
• Abigail Elizabeth Bianchi
• Janine J. Birmingham
• Jonathan Blaisdell, M.A.
• Amaya Blige, RBT

• All providers in Norwell, MA
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.