Active NPI
Darlene Fowler, BCBA
- Behavior Analyst
- Lexington, MA
National Provider Identifier
1992040588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-03-1332
- Practice address
- 1040 Waltham Street
Edinburg Center
Lexington, MA 02421-8033 - Phone
- (781) 761-5093
- NPI assigned
- Dec 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-03-1332 | MA | Primary |
Addresses
Primary practice location
1040 Waltham Street
Edinburg Center
Lexington, MA 02421-8033
Mailing address
27 Jackson St
Lowell, MA 01852-2137
Phone (617) 592-2026
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1992040588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 JACKSON ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522137",
"telephone_number": "617-592-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 WALTHAM STREET",
"address_2": "EDINBURG CENTER",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024218033",
"telephone_number": "781-761-5093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "DARLENE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-07",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1-03-1332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.