Active NPI
Mariia Beha
- Behavior Analyst
- Southborough, MA
National Provider Identifier
1174189096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 10000294
- Practice address
- 166B Southville Rd
Southborough, MA 01772-1938 - Phone
- (857) 250-1066
- Fax
- (508) 634-6984
- NPI assigned
- May 16, 2019
- Last updated
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 10000294 | MA | Primary |
Addresses
Primary practice location
166B Southville Rd
Southborough, MA 01772-1938
Mailing address
166B Southville Rd
Southborough, MA 01772-1938
Phone (508) 478-0207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000294 | MA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Behavior Learning Centers LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1174189096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166B SOUTHVILLE RD",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721938",
"telephone_number": "508-478-0207",
"fax_number": "508-634-6984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166B SOUTHVILLE RD",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721938",
"telephone_number": "857-250-1066",
"fax_number": "508-634-6984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHA",
"first_name": "MARIIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-16",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "10000294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.