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LIFESTREAM INC NPI 1558963397


NPI Information

NPI: 1558963397
Provider Name: LIFESTREAM, INC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization

CLIA Number: 22D2036552

Address:
1 FR DEVALLES BLVD
FALL RIVER, MA
ZIP 02723
Phone: (508) 993-1991
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LIFESTREAM, INC is a behavior analyst in Fall River, MA. The provider is 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. LIFESTREAM, INC NPI is 1558963397. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 FR DEVALLES BLVD
FALL RIVER, MA
ZIP 02723-511
Phone: (508) 993-1991
Fax: (508) 674-2952

The provider's authorized official is Helen Tuttle .
The authorized official title is Sr Director Of Finance and has the following contact phone number (508) 993-1991.

The CLIA number assigned to this NPI record is 22D2036552 - other - adult day hab prog with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2020 and was last updated on 11/16/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2103K00000XBehavior AnalystYes
3251S00000XCommunity/Behavioral HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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