NPIMap

Organization Active NPI

Autism Prime Therapies

  • Behavior Analyst
  • Woburn, MA
National Provider Identifier
1326790445
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM PRIME THERAPIES
Practice address
54 Cummings Park Ste 312
Woburn, MA 01801-2192
Phone
(781) 953-2490
Fax
(781) 218-9177
NPI assigned
Jan 20, 2022
Last updated
Jan 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Harison Maina, MS., BCBA, LABANPI 1912408774
Title
Owner
Phone
(781) 953-2490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

54 Cummings Park Ste 312
Woburn, MA 01801-2192

Mailing address

54 Cummings Park Ste 312
Woburn, MA 01801-2192
Phone (781) 953-2490

National Provider Directory

National Provider Directory

Locations

54 Cummings Park
Ste 312
Woburn, MA 01801
Phone (781) 953-2490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1326790445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CUMMINGS PARK STE 312",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012192",
            "telephone_number": "781-953-2490",
            "fax_number": "781-218-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 CUMMINGS PARK STE 312",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012192",
            "telephone_number": "781-953-2490",
            "fax_number": "781-218-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM PRIME THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "MAINA",
        "authorized_official_first_name": "HARISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-953-2490",
        "authorized_official_credential": "MS., BCBA, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.