Betzaida Fuentes, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-6937

Practice address

214 Main St Ste 1
Malden, MA 02148-6908

Phone

(617) 477-4050

Fax

(857) 244-6299

NPI assigned

Dec 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• ABA Concepts, Inc.

  • Community/Behavioral Health Agency
  • Malden, MA
  • NPI 1760868798
  NPD Authorized official
• Family Service Association of Greater Boston

  • Community/Behavioral Health Agency
  • Jamaica Plain, MA
  • NPI 1801916176
  NPD (past)

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1457597668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MAIN ST STE 1",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486908",
            "telephone_number": "954-559-1221",
            "fax_number": "857-244-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MAIN ST STE 1",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486908",
            "telephone_number": "617-477-4050",
            "fax_number": "857-244-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "BETZAIDA",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "334",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "0972",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-10-6937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303414",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Freeman, LICSW
• Melissa Freitag
• Caitlin French, R.N.
• Fresh Start Recovery Coalition, Inc
• Paul Frydrych, MD
• Lucy Gabor, MSW
• Ian Gabriel
• Dawn Michelle Gaffney
• Maureen Gage, M.S.,CCC-SLP
• Heather Gagliardi

• Behavior Analyst in Malden, MA
• Providers in Malden, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.