MR. MATTHEW TAYLOR MIRACLE (NPI# 1689921397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689921397 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW TAYLOR MIRACLE |
| Credential | BA |
| Practice Address |
76 Church St Ste 301 Whitinsville MA 01588-1464 |
| Practice Telephone | 5082344181 |
| Practice Fax Number | 5082343944 |
| Mailing Telephone | (508) 234-4181 |
| Mailing Fax Number | 5082343944 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2017-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
76 CHURCH ST STE 301 |
| City | WHITINSVILLE |
| State | MA |
| Zip Code | 01588-1464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982749875 | Laura L Bleakney | Counselor | 76 Church St Ste 301, Whitinsville, MA 01588-1416 | 2007-02-20 |
| 1740839091 | Chelsey Ann Marie Carroll | Social Worker | 76 Church St Ste 301, Whitinsville, MA 01588-1464 | 2019-09-10 |
| 1962055384 | Katherine Rondina | Counselor | 76 Church St Ste 301, Whitinsville, MA 01588-1464 | 2019-07-24 |
| 1144887787 | Ashley Jayne Beaupre-aldrich | Behavioral Analyst | 76 Church St Ste 301, Whitinsville, MA 01588-1464 | 2019-05-20 |
| 1629554407 | Lori Hout | Counselor | 76 Church St Ste 301, Whitinsville, MA 01588-1464 | 2018-07-16 |
| 1720570492 | Aleksa Golloshi | Behavioral Analyst | 76 Church St Ste 301, Whitinsville, MA 01588-1464 | 2018-05-30 |
| 1063903185 | Alana Kearney | Behavioral Analyst | 76 Church St Ste 301, Whitinsville, MA 01588-1464 | 2018-05-24 |
| 1023524642 | Bethany Gilbert | Counselor | 76 Church St Ste 301, Whitinsville, MA 01588-1464 | 2017-12-19 |
| 1245757095 | Cathleen Diann Mcdonald | Counselor | 76 Church St Ste 301, Whitinsville, MA 01588-1464 | 2017-08-23 |
| 1659897510 | Krystal N Caney | Counselor | 76 Church St Ste 301, Whitinsville, MA 01588-1464 | 2017-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193565 | Jameson Groot | Pharmacist | 100 Valley Park Way, Whitinsville, MA 01588 | 2020-10-30 |
| 1013498963 | Jennifer Ryder | Social Worker | 286 Carpenter Rd, Whitinsville, MA 01588 | 2018-08-28 |
| 1841661659 | Catherine Joseph Mardy | Counselor | 76 Church Street, #301, Family Continuity, Whitinsville, MA 01588 | 2015-10-20 |
| 1457596298 | Cheryl Ann Maxim | Counselor | 76 Church St., Whitinsville, MA 01588 | 2008-12-09 |
| 1720208770 | Alternatives Unlimited, Inc | Custodial Care Facility | 54 Douglas Road, Whitinsville, MA 01588 | 2007-05-01 |
| 1073733473 | Alternatives Unlimited, Inc | Day Training, Developmentally Disabled Services | 56 Douglas Road, Whitinsville, MA 01588 | 2007-04-26 |
| 1518098011 | Wal-mart Stores East, L.p. | Technician/Technologist | 100 Valley Parkway, Northbridge, MA 01588 | 2007-03-08 |
| 1659435170 | Martin A Keane | Dentist | 1 Plummers Corner, Suite 103, Whitinsville, MA 01588 | 2006-12-20 |
| 1184724445 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1163 Providence St Whitinsville Plz, Whitinsville, MA 01588 | 2006-09-25 |
| 1114986361 | Russell Fradkin | Optometrist | 999 Providence Rd, Whitinsville, MA 01588 | 2006-03-17 |
| Find all providers in zip 01588 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427692748 | Lifecraft Aba, LLC | Behavioral Analyst | 42 Arthur Dr, Whitinsville, MA 01588-1935 | 2019-10-30 |
| 1285232512 | Lindsey Beaird | Behavioral Analyst | 214 Church St, Whitinsville, MA 01588-1418 | 2020-10-09 |
| 1952943466 | Travis Allyn Hopper | Behavioral Analyst | 214 Church St, Whitinsville, MA 01588-1418 | 2019-10-16 |
| 1144887787 | Ashley Jayne Beaupre-aldrich | Behavioral Analyst | 76 Church St Ste 301, Whitinsville, MA 01588-1464 | 2019-05-20 |
| 1326533670 | David Scott Macpherson | Behavioral Analyst | 162 N Main St, Whitinsville, MA 01588-1835 | 2018-06-28 |
| 1720570492 | Aleksa Golloshi | Behavioral Analyst | 76 Church St Ste 301, Whitinsville, MA 01588-1464 | 2018-05-30 |
| 1063903185 | Alana Kearney | Behavioral Analyst | 76 Church St Ste 301, Whitinsville, MA 01588-1464 | 2018-05-24 |
| 1750805263 | Jake Adam Stallone | Behavioral Analyst | 76 Church St Ste 301, Whitinsville, MA 01588-1464 | 2017-07-27 |
| 1033661947 | Marina Loshusan | Behavioral Analyst | 214 Church St, Whitinsville, MA 01588-1418 | 2016-10-26 |
| 1619421369 | Barbara Ann Filipe | Behavioral Analyst | 76 Church St Ste 301, Whitinsville, MA 01588-1464 | 2016-08-11 |
| Find all providers in WHITINSVILLE | ||||
| City | WHITINSVILLE |
| Zip Code | 01588 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.