Active NPI
Nikki Billiri, M.S., BCBA, LABA
- Behavior Analyst
- Woburn, MA
National Provider Identifier
1619518651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3039
- Practice address
- 182 Mishawum Rd
Woburn, MA 01801-2431 - Phone
- (781) 405-0111
- Fax
- (781) 528-0423
- NPI assigned
- Oct 1, 2019
- Last updated
- May 22, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 3039 | MA | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
182 Mishawum Rd
Woburn, MA 01801-2431
Mailing address
182 Mishawum Rd
Woburn, MA 01801-2431
Phone (781) 405-0111
Other practice location 1
205 Burlington Rd
Bedford, MA 01730-1406
Phone (781) 862-3600
Other practice location 2
354 Merrimack St Ste 395
Lawrence, MA 01843-1754
Phone (774) 206-1125
Other practice location 3
64H Concord St
Wilmington, MA 01887-2179
Phone (781) 333-5310
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1004745 | Other | MA | FALLON |
| 0000023532 | Other | MA | BMC |
| M18633 | Other | MA | BCBS |
| 99618201 | Other | MA | NETWORK HEALTH |
| 1004745 | Other | MA | NHP |
| 1303287 | Other | MA | MBHP |
| 042611055 | Other | MA | TAX ID |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3039 | MA | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Edinburg Center Inc | Current | Accepting new patients | |
| Spectrum Wellness LLC | Behavior Analyst | Current | Accepting new patients |
| Juvo Behavioral Health of Massachusetts LLC | Behavior Analyst | Past | Accepting new patients |
Locations
205 Burlington Rd
Bedford, MA 01730
Phone (781) 761-5064
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Woburn, MA
- NPI 1649026014
-
- Psychiatry Physician
- Bedford, MA
- NPI 1073617353
-
- Behavior Analyst
- Wilmington, MA
- NPI 1265949754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1619518651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 MISHAWUM RD",
"city": "WOBURN",
"state": "MA",
"postal_code": "018012431",
"telephone_number": "781-405-0111",
"fax_number": "781-528-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 MISHAWUM RD",
"city": "WOBURN",
"state": "MA",
"postal_code": "018012431",
"telephone_number": "781-405-0111",
"fax_number": "781-528-0423"
}
],
"practiceLocations": [
{
"address_1": "205 Burlington Rd",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "MA",
"postal_code": "017301406",
"country_code": "US",
"telephone_number": "781-862-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "354 Merrimack St Ste 395",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "MA",
"postal_code": "018431754",
"country_code": "US",
"telephone_number": "774-206-1125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "64H Concord St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "MA",
"postal_code": "018872179",
"country_code": "US",
"telephone_number": "781-333-5310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BILLIRI",
"first_name": "NIKKI",
"credential": "M.S., BCBA, LABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-01",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "3039",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "1004745",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "0000023532",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M18633",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "99618201",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "1004745",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "1303287",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "042611055",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.