Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669746244 Individual Practitioner Female Practitioner

Elizabeth Jean Nolan-Stack

Behavior Analyst • Bedford, MA

Professional Overview & Biography Verified Profile Summary

Elizabeth Nolan-Stack is a registered healthcare professional specializing in Behavior Analyst in Bedford, MA. Practice services are available at 205 BURLINGTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

205 Burlington Rd

Bedford, MA 017301406

Telephone 7817615077
Associated Practice Facility / Clinic
🏢 Edinburg Center Inc Facility NPI 1073617353

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Bedford, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
39 Specialists

Practicing in Bedford, MA (4758 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-19
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1303287 (MA)
Commercial Insurance / Payer ID Mbhp
1303287 (MA)
Commercial Insurance / Payer ID Bcbs
M18633 (MA)
Commercial Insurance / Payer ID Taxid
042611055 (MA)
Commercial Insurance / Payer ID Nhp
1004745 (MA)
Commercial Insurance / Payer ID Bmc
0000023532 (MA)
Commercial Insurance / Payer ID Network Health
99618201 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Ashley Poirier

Counselor - Mental Health

NPI 1043616568
Diana Nantongo , MA, LMHC

Counselor - Mental Health

NPI 1063716389

Master of Arts, Licensed Mental Health Counselor

Sarah Knox

Counselor - Mental Health

NPI 1083910467
Linda Ploude , MSW

Counselor - Mental Health

NPI 1144593864

Master of Social Work

Danielle Chamberland

Counselor - Mental Health

NPI 1194027094
Daniella Decampos , MA

Counselor - Mental Health

NPI 1205121415

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 04, 2020

Registered at 205 BURLINGTON RD, BEDFORD, MA 017301406 (Tel: 7817615077)

📍
Updated Business Mailing Address November 04, 2020

Registered at 205 BURLINGTON RD, BEDFORD, MA 017301406 (Tel: 7817615077)

NPI Profile Active February 29, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 29, 2012

Registered at 1040 WALTHAM ST, LEXINGTON, MA 024218033 (Tel: 7817615077)

📍
Updated Business Mailing Address February 29, 2012

Registered at 1040 WALTHAM ST, LEXINGTON, MA 024218033 (Tel: 7817615077)

👤
Provider Name / Credentials Updated February 29, 2012

Recorded as ELIZABETH NOLAN-STACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 29, 2012

Counselor

🟢
Initial NPI Registration & Enumeration February 29, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669746244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 29, 2012
Last Update: November 04, 2020
Sole Proprietor: No

Mailing Address

205 Burlington Rd

Bedford, MA 017301406

Phone: 7817615077

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.