Individual provider Active NPI

Mila Funez, BCBA

  • Behavior Analyst
  • Newton, MA
National Provider Identifier
1447839253
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
32-MH-B1 Issued in MA
Practice address
193 Oak St Ste 1
Newton, MA 02464-1453
Phone
(617) 658-5611
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH004046 PA
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 32-MH-B1 MA Primary

Addresses

Primary practice location

193 Oak St Ste 1
Newton, MA 02464-1453

Mailing address

100 Powdermill Rd # 137
Acton, MA 01720-5932

Other practice location 1

322 N Front St
Allentown, PA 18102-5310
Phone (484) 569-9866

Other practice location 2

3 Nathan Pratt Dr
Concord, MA 01742-4639
Phone (484) 569-9866

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
32-MH-B1MAMDBehavioral Analyst
BH004046PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Abcdiario Behavioral Consulting Behavior Analyst Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1447839253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 POWDERMILL RD # 137",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 OAK ST STE 1",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641453",
            "telephone_number": "617-658-5611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 N Front St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181025310",
            "country_code": "US",
            "telephone_number": "484-569-9866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Nathan Pratt Dr",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017424639",
            "country_code": "US",
            "telephone_number": "484-569-9866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNEZ",
        "first_name": "MILA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH004046",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "32-MH-B1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.