NORTHEAST BEHAVIORAL ASSOCIATES NPI 1790137461

NPI Information

  • NPI: 1790137461
  • Provider Name: NORTHEAST BEHAVIORAL ASSOCIATES
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 41D2320710
  • Address: 2348 POST ROAD
    SUITE 107
    WARWICK, RI
    ZIP 02886
  • Phone: (401) 681-4637

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NPI Details

NORTHEAST BEHAVIORAL ASSOCIATES is a specialist in Warwick, RI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHEAST BEHAVIORAL ASSOCIATES NPI is 1790137461. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2348 POST ROAD
SUITE 107
WARWICK, RI
ZIP 02886-271
Phone: (401) 681-4637
Fax: (401) 681-4675

The provider's authorized official is Jennifer Nelson .
The authorized official title is Board Certified Behavior Analyst and has the following contact phone number (401) 681-4637.

The CLIA number assigned to this NPI record is 41D2320710 - practitioner other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/6/2016 and was last updated on 7/6/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

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This page was last updated on: 11/21/2025

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