Active NPI
Binta Bobo Ba
- Behavior Technician
- Methuen, MA
National Provider Identifier
1366036725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 17 Rivers Edge PL
Methuen, MA 01844-6340 - Phone
- (617) 407-0986
- NPI assigned
- Feb 25, 2021
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
17 Rivers Edge PL
Methuen, MA 01844-6340
Mailing address
17 Rivers Edge PL
Methuen, MA 01844-6340
Phone (617) 407-0986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 542528020 | Other | MA | PASSPORT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1366036725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 RIVERS EDGE PL",
"city": "METHUEN",
"state": "MA",
"postal_code": "018446340",
"telephone_number": "617-407-0986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 RIVERS EDGE PL",
"city": "METHUEN",
"state": "MA",
"postal_code": "018446340",
"telephone_number": "617-407-0986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BA",
"first_name": "BINTA",
"middle_name": "BOBO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-25",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "542528020",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.