Bitsena S Antonios

Individual provider Active NPI Behavior Technician · Woburn, MA

NPI 1083458111 · NPPES record last updated Jun 24, 2024

Key facts

NPI
1083458111
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5 Constitution Way
Woburn, MA 01801-1199
Phone
(888) 754-0398
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5 Constitution Way
Woburn, MA 01801-1199

Mailing address

255 Grapevine Rd
Wenham, MA 01984-1813
Phone (978) 716-7624

Other providers in Woburn, MA

All providers in Woburn, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.