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Andre Laurence Dubois-White , MSED, MS, BCBA, LABA

Behavior Analyst β€’ Springfield, MA

Active NPI 1114526738 Individual Practitioner Male Practitioner
Practice location in NPPES

110 Maple St
Springfield, MA 011051864

Call 4137470705 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

110 Maple St

Springfield, MA 011051864

Telephone 4137470705
Fax 4137327075
Organization at the Same NPPES Address or Phone
Behavioral Health Network, Inc Facility NPI 1093448458

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

NPI first issued

2020

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 Springfield and Massachusetts

88 active clinicians are listed under Behavior Analyst with a practice address in Springfield, MA (4,730 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 88 clinicians have the CMS telehealth indicator.

0% of these 88 clinicians are listed by CMS as accepting Medicare assignment.

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: 2022-07-13
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

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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

Clinicians Sharing This Practice Address or Phone

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

2 listed
Gillian Graham , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154798411

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Mary Beth Yentz , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1073097655

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location July 13, 2022

Registered at 110 MAPLE ST, SPRINGFIELD, MA 011051864 (Tel: 4137470705)

πŸ“
Updated Business Mailing Address July 13, 2022

Registered at 417 LIBERTY ST, SPRINGFIELD, MA 011043736 (Tel: 4137336661)

πŸ“
Updated Practice Location May 03, 2022

Registered at 225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 017525900 (Tel: 8774182978)

πŸ“
Updated Business Mailing Address May 03, 2022

Registered at 350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 334411834 (Tel: 8774182978)

πŸ‘€
Provider Name / Credentials Updated May 03, 2022

Recorded as ANDRE DUBOIS-WHITE, MSED, MS, BCBA/LABA

βœ…
NPI Profile Active October 23, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 23, 2020

Registered at 110 MAPLE ST, SPRINGFIELD, MA 011051864 (Tel: 4137470705)

πŸ“
Business Mailing Address (Initial Record) October 23, 2020

Registered at 110 MAPLE ST, SPRINGFIELD, MA 011051864 (Tel: 4137470705)

πŸ‘€
Provider Name / Credentials (Initial Record) October 23, 2020

Recorded as ANDRE DUBOIS-WHITE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2020

Counselor

🟒
Initial NPI Registration & Enumeration October 23, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114526738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2020
Last Update: July 13, 2022
Sole Proprietor: No

Mailing Address

417 Liberty St

Springfield, MA 011043736

Phone: 4137336661

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.