Dana Boosma, BEHAVIOR TECHNICIAN

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-16-1454-49399 Issued in MA

Practice address

75 S Church St
Pittsfield, MA 01201-6157

Phone

(413) 499-7924

Fax

(413) 442-6284

NPI assigned

Jun 7, 2018

Sex

Female

Sole proprietor

No

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2018.

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1487147203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018237",
            "telephone_number": "413-499-7924",
            "fax_number": "413-442-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S CHURCH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016157",
            "telephone_number": "413-499-7924",
            "fax_number": "413-442-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOSMA",
        "first_name": "DANA",
        "credential": "BEHAVIOR TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MA",
            "license": "RBT-16-1454-49399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nestor Olivier Bond, PA
• Tyler Simone Bonner, DO
• Joanna Mae Boody, M.A., PSYCH
• Jennifer Boomhower, RD, CSR, CDN
• Kacey Boos
• Kimberley L Borden
• Thomas Michael Borden, LICSW
• Bruno Fernando Borges Da Costa E Silva, M.D.
• Ellen Borquaye
• Emily Borsody, MSW, LICSW

• All providers in Pittsfield, MA
• Behavior Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.