Individual provider Active NPI

Wendy A Zavala

  • Behavior Technician
  • Lunenburg, MA
National Provider Identifier
1285139212
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-53265 Issued in MA
Practice address
132 Robbs Hill Rd
Lunenburg, MA 01462
Phone
(508) 302-9601
NPI assigned
Mar 30, 2018
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL
Behavior Technician 106S00000X RBT-18-53265 MA Primary

Addresses

Primary practice location

132 Robbs Hill Rd
Lunenburg, MA 01462

Mailing address

71 Messenger St Apt 1005
Plainville, MA 02762-2240
Phone (305) 967-3250

Other practice location 1

13595 SW 134th Ave Ste 101
Miami, FL 33186-4579
Phone (305) 780-2358

Other practice location 2

316 SW 95th Pl
Miami, FL 33174-2067
Phone (305) 967-3250

Other practice location 3

43 Chubb Rd
Framingham, MA 01701-7804
Phone (508) 302-9601

Other practice location 4

132 Robbs Hill Rd
Lunenburg, MA 01462
Phone (508) 302-9601

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

LicenseStateTypeSpecialty
RBT-18-53265MAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Autism Connections, LLC CurrentSince Aug 6, 2019 Accepting new patients
Emphour, Inc PastSince Aug 6, 2019 Accepting new patients
Hour Bliss, Inc Past Accepting new patients

Organizations & group practices 3

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1285139212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 MESSENGER ST APT 1005",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027622240",
            "telephone_number": "305-967-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ROBBS HILL RD",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "01462",
            "telephone_number": "508-302-9601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13595 SW 134th Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331864579",
            "country_code": "US",
            "telephone_number": "305-780-2358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 SW 95th Pl",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331742067",
            "country_code": "US",
            "telephone_number": "305-967-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43 Chubb Rd",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017017804",
            "country_code": "US",
            "telephone_number": "508-302-9601",
            "fax_number": "508-861-0206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 Robbs Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Lunenburg",
            "state": "MA",
            "postal_code": "01462",
            "country_code": "US",
            "telephone_number": "508-302-9601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "WENDY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MA",
            "license": "RBT-18-53265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lunenburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.