BOSTON BEHAVIOR THERAPY LLC (NPI# 1780995332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780995332 |
| Entity Type | Organization |
| Organization Name | BOSTON BEHAVIOR THERAPY LLC |
| Practice Address |
300 Trade Center 100 Sylvan Rd Suite 7790 Woburn MA 01801-1883 |
| Practice Telephone | 7812810213 |
| Practice Fax Number | 7812810764 |
| Mailing Telephone | 7812810213 |
| Mailing Fax Number | 7812810764 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-08-05 |
| Authorized Official Name | MRS. TRACY VANDERMERWE (OFFICE MANAGER) |
| Authorized Official Telephone | 6035802337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4233 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | SOLO NPI | 1124356233 | 01 |
| MA | SOLO NPI | 1104053933 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | BOSTON BEHAVIOR THERAPY LLC | 300 Tradecenter, Suite 7790, Woburn, MA 01801 |
| Street Address |
300 TRADE CENTER 100 SYLVAN RD SUITE 7790 |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-1883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699095539 | Lauren Adamek Cook | Psychologist | 304 Cambridge Rd Ste 320, Woburn, MA 01801-6080 | 2010-06-02 |
| 1639225097 | Joanne Greenfield | Psychologist | 20 Parliament Ln, Woburn, MA 01801-5346 | 2007-01-26 |
| 1164572178 | John Gerrein | Psychologist | 8 Cedar St Ste 58, Woburn, MA 01801-6362 | 2007-01-11 |
| 1942397914 | Louise C.p. Fennell | Psychologist | 8 Cedar St Ste 43, Woburn, MA 01801-6362 | 2006-10-09 |
| 1659331130 | Beatrice R Guilbault | Psychologist | 10 Tower Office Park, Suite 210, Woburn, MA 01801-2182 | 2006-03-27 |
| 1780130898 | Stephanie Fernandez | Psychologist | 12 Alfred St, Woburn, MA 01801-1972 | 2016-08-29 |
| 1083099097 | Caroline Avitabile | Psychologist | 12 Alfred St, Woburn, MA 01801-1972 | 2015-07-21 |
| 1932449840 | Isabelle Eccles Morley | Psychologist | 12 Alfred St Ste 200, Woburn, MA 01801-1915 | 2013-03-01 |
| 1114276524 | Jennifer Leslie | Psychologist | 12 Alfred Street, Suite 200, Woburn, MA 01801 | 2012-08-30 |
| 1821363615 | Diane G Reilly | Psychologist | 12 Alfred St, Suite 200, Woburn, MA 01801-1972 | 2012-03-13 |
| Find all providers in WOBURN | ||||
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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.