Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568031417 Individual Practitioner Female Practitioner

Mary K Champagne

Behavior Analyst • Newton, MA

Professional Overview & Biography Verified Profile Summary

Mary Champagne is a registered healthcare professional specializing in Behavior Analyst in Newton, MA. Practice services are available at 109 OAK ST STE G30 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 Oak St Ste G30

Newton, MA 024641492

Telephone 5185786483

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Newton, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
149 Specialists

Practicing in Newton, 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: 2025-03-23
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MA LABA100000563

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License MA 100000563

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.

Practice Associates & Co-Workers

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

22 Associated Practitioners
Chantal Clerveaux

Behavior Technician

NPI 1053991745
Daniel Vega

Behavior Analyst

NPI 1114518487
Carlene Mosca

Behavior Analyst

NPI 1164045944
Shannon Terlecki

Behavior Analyst

NPI 1184163750
NPI 1225672389

Board Certified Behavior Analyst, LABA

NPI 1235861642

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 23, 2025

Registered at 109 OAK ST STE G30, NEWTON, MA 024641492 (Tel: 5185786483)

📍
Updated Business Mailing Address March 23, 2025

Registered at 57 CHARLES ST, AUBURNDALE, MA 024661709 (Tel: 5185786483)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2025

Behavior Analyst (License #100000563 in MA)

NPI Profile Active June 23, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2021

Registered at 5 CONSTITUTION WAY STE C, WOBURN, MA 018011199 (Tel: 8887540398)

📍
Updated Business Mailing Address June 23, 2021

Registered at 140A SUTHERLAND RD, BOSTON, MA 021357302 (Tel: 5185786483)

👤
Provider Name / Credentials Updated June 23, 2021

Recorded as MARY CHAMPAGNE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2021

Behavior Technician

🟢
Initial NPI Registration & Enumeration June 23, 2021

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: 1568031417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2021
Last Update: March 23, 2025
Sole Proprietor: Yes

Mailing Address

57 Charles St

Auburndale, MA 024661709

Phone: 5185786483

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.