Active NPI
Humanitas LLC
- Behavior Analyst
- Brighton, MA
National Provider Identifier
1457084295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- HUMANITAS LLC
- Practice address
- 63 Nonantum St
Brighton, MA 02135-2470 - Phone
- (857) 763-4200
- NPI assigned
- Jul 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mario C Gonzales
- Title
- Administrator
- Phone
- (774) 279-2149
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
63 Nonantum St
Brighton, MA 02135-2470
Mailing address
75 State St Ste 100
Boston, MA 02109-1826
Phone (857) 763-4200
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658966400000",
"number": "1457084295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 STATE ST STE 100",
"city": "BOSTON",
"state": "MA",
"postal_code": "021091826",
"telephone_number": "857-763-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 NONANTUM ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352470",
"telephone_number": "857-763-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMANITAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-08",
"last_updated": "2022-07-28",
"certification_date": "2022-07-12",
"status": "A",
"authorized_official_last_name": "GONZALES",
"authorized_official_first_name": "MARIO",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "774-279-2149",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.