Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013198563 Individual Practitioner Female Practitioner

Aissa Courtney Boduch

Developmental Therapist • Lowell, MA

Professional Overview & Biography Verified Profile Summary

Aissa Boduch is a registered healthcare professional specializing in Developmental Therapist in Lowell, MA. Practice services are available at 126 PHOENIX AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

126 Phoenix Ave
Bldg. 2

Lowell, MA 018524931

Telephone 9784538331
Associated Practice Facility / Clinic
🏢 Douglas A. Thom Clinic, Inc. Facility NPI 1396771820

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Lowell, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.6 Yrs
Regional Practice Density
96 Specialists

Practicing in Lowell, MA (5281 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

Developmental Therapist Primary Specialty

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Rachel Harty , SLP

Speech-Language Pathologist

NPI 1003090101

Speech-Language Pathologist

Christine Carignan , PT

Physical Therapist

NPI 1003098880

Physical Therapist

Dorothea Wolf , LCSW

Social Worker - Clinical

NPI 1003099698

Licensed Clinical Social Worker

Crystal Hutchins , CCC-SLP

Speech-Language Pathologist

NPI 1023329430

Speech-Language Pathologist (Certificate of Clinical Competence)

Chansavy Lim

Respiratory Therapist, Certified - Educational

NPI 1033623525
Natalie Guerin , MS, CCC, SLP

Speech-Language Pathologist

NPI 1043491491

Master of Science, Certificate of Clinical Competence, Speech-Language Pathologist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 26, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 26, 2007

Registered at 126 PHOENIX AVE, BLDG. 2, LOWELL, MA 018524931 (Tel: 9784538331)

📍
Updated Business Mailing Address November 26, 2007

Registered at 126 PHOENIX AVE, BLDG. 2, LOWELL, MA 018524931

👤
Provider Name / Credentials Updated November 26, 2007

Recorded as AISSA BODUCH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2007

Developmental Therapist

🟢
Initial NPI Registration & Enumeration November 26, 2007

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: 1013198563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 26, 2007
Last Update: November 26, 2007
Sole Proprietor: No

Mailing Address

126 Phoenix Ave, Bldg. 2

Lowell, MA 018524931

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.