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BEAVERBROOK STEP, INC.
NPI 1205387727
Day Training, Developmentally Disabled Services in Watertown, MA

Active since October 19, 2016CLIA 22D2099877 · Waiver
85 MAIN ST, 2ND FLOOR, WATERTOWN, MA 02472(617) 974-0148(617) 926-1227 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beaverbrook Step, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAVERBROOK STEP, INC. (NPI 1205387727) is a healthcare organization registered as a day training, developmentally disabled services in Watertown, Massachusetts and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Virginia A Connolly, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205387727
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameBEAVERBROOK STEP, INC.
Location Address85 MAIN ST, 2ND FLOORWatertown, MA 02472-4411
Mailing Address85 Main St, 2nd FloorWatertown, MA 02472-4411 · (617) 974-0148 · Fax (617) 926-1227
Phone(617) 974-0148
Fax(617) 926-1227
Organization SubpartNo
Authorized OfficialVirginia A ConnollyExecutive Director · (617) 926-1113
Enumeration DateOctober 19, 2016
✔ NPI 1205387727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
License✔ Licensed in MA · 201069
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
85 MAIN ST, Watertown, MA 02472
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2099877

Beaverbrook Step Inc · Watertown, MA
Active · expires Aug 3, 2027
CLIA Number22D2099877
Laboratory TypeServ For People W/ Dd
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorVirginia A. Connolly
Laboratory Phone(617) 926-1113
Laboratory LocationBeaverbrook Step Inc85 Main St 2nd Fl, Watertown, MA 02472
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE JOHNSON BCBA
Behavior Analyst
85 MAIN ST, SUITE 102
WATERTOWN, MA 02472
Middlesex County (617) 923-7575
WENDY B GREENHALGH BCBA
Behavior Analyst
85 MAIN ST, #102
WATERTOWN, MA 02472
Middlesex County (617) 923-1300
ADVANCES LEARNING CENTER, INC.
Community/Behavioral Health
85 MAIN ST, SUITE 102
WATERTOWN, MA 02472
Middlesex County (617) 923-7575
REBECCA MAIKELS BCBA
Behavior Analyst
85 MAIN ST, SUITE 102
WATERTOWN, MA 02472
Middlesex County (617) 923-7575
MS. DENICE KATHERINE HANNON-PERERA BCBA
Behavior Analyst
85 MAIN ST, SUITE 102
WATERTOWN, MA 02472
Middlesex County (617) 923-7575
CHRISTINA DIMARE
Behavior Analyst
85 MAIN ST, SUITE 102
WATERTOWN, MA 02472
Middlesex County (617) 923-1300
SARAH BETH O'LEARY
Behavior Analyst
85 MAIN ST, SUITE 102
WATERTOWN, MA 02472
Middlesex County (617) 923-7575
DR. TREVOR KELLY DPT
Physical Therapist
85 MAIN ST, STE 103
WATERTOWN, MA 02472
Middlesex County (617) 924-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beaverbrook Step, Inc.'s NPI number?

The NPI number for Beaverbrook Step, Inc. is 1205387727. It was assigned to this organization in the NPPES registry on October 19, 2016.

Where is Beaverbrook Step, Inc. located?

Beaverbrook Step, Inc. is located at 85 Main St 2nd Floor, Watertown, MA 02472. The listed phone number is (617) 974-0148.

What is Beaverbrook Step, Inc.'s specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Does Beaverbrook Step, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2099877) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beaverbrook Step, Inc. was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.