Active NPI
Atka Bol Constant
- Behavior Analyst
- Concord, NH
National Provider Identifier
1194359950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12476404
- Practice address
- 194 Pleasant St Ste 2
Concord, NH 03301-2952 - Phone
- (603) 471-7791
- Fax
- (877) 754-5246
- NPI assigned
- Mar 2, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 12476404 | NH | Primary |
Addresses
Primary practice location
194 Pleasant St Ste 2
Concord, NH 03301-2952
Mailing address
446 Micol Rd
Pembroke, NH 03275-3114
Phone (603) 858-2350
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 |
|---|---|---|---|
| 12476404 | NH | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Bridges 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 and National Provider Directory roles.
-
- Behavior Analyst
- Bedford, NH
- NPI 1205131596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1194359950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 MICOL RD",
"city": "PEMBROKE",
"state": "NH",
"postal_code": "032753114",
"telephone_number": "603-858-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 PLEASANT ST STE 2",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012952",
"telephone_number": "603-471-7791",
"fax_number": "877-754-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSTANT",
"first_name": "ATKA",
"middle_name": "BOL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-02",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NH",
"license": "12476404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.