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Cameron Michael Glick

Behavior Technician β€’ Roslindale, MA

Active NPI 1447977624 Individual Practitioner Male Practitioner
Practice location in NPPES

780 American Legion Hwy
Roslindale, MA 021313908

Call 6172673700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

780 American Legion Hwy

Roslindale, MA 021313908

Telephone 6172673700
Organization at the Same NPPES Address or Phone
The Home For Little Wanderers Facility NPI 1710045364

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Boston, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Roslindale and Massachusetts

8 active clinicians are listed under Behavior Technician with a practice address in Roslindale, MA (11,431 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-10-16
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Secondary Practice Locations

90 Canal St Fl 4

Boston, MA 021142018

Phone: 8889222843

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Allan Giesen , MD DO

Psychiatry & Neurology - Psychiatry

NPI 1538263991

MDDO

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location October 16, 2024

Registered at 780 AMERICAN LEGION HWY, ROSLINDALE, MA 021313908 (Tel: 6172673700)

πŸ“
Updated Business Mailing Address October 16, 2024

Registered at 780 AMERICAN LEGION HWY, ROSLINDALE, MA 021313908 (Tel: 8889222843)

πŸ”„
NPI Profile Reactivated September 10, 2024

Record officially reactivated for active practice on September 10, 2024

πŸ“
Updated Practice Location September 10, 2024

Registered at 90 CANAL ST FL 4, BOSTON, MA 021142018 (Tel: 8889222843)

πŸ“
Updated Business Mailing Address September 10, 2024

Registered at 90 CANAL ST FL 4, BOSTON, MA 021142018 (Tel: 8889222843)

πŸ‘€
Provider Name / Credentials Updated September 10, 2024

Recorded as CAMERON GLICK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2024

Behavior Technician

⚠️
NPI Profile Deactivated August 30, 2024

NPPES lists this NPI as deactivated as of August 30, 2024; the reason is not published.

βœ…
NPI Profile Active October 27, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 27, 2022

Registered at 90 CANAL ST FL 4, BOSTON, MA 021142018 (Tel: 8889222843)

πŸ“
Business Mailing Address (Initial Record) October 27, 2022

Registered at 90 CANAL ST FL 4, BOSTON, MA 021142018 (Tel: 8889222843)

πŸ‘€
Provider Name / Credentials (Initial Record) October 27, 2022

Recorded as CAMERON GLICK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2022

Behavior Technician

🟒
Initial NPI Registration & Enumeration October 27, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447977624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2022
Last Update: October 16, 2024
Sole Proprietor: No

Mailing Address

780 American Legion Hwy

Roslindale, MA 021313908

Phone: 8889222843

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.