Tanycha Enid Bonilla
Individual provider Active NPI Behavior Technician · Hyde Park, MA
NPI 1629908512 · NPPES record last updated May 21, 2026
Key facts
- NPI
- 1629908512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 414150 (MA)
- Practice address
- 1234 Hyde Park Ave
Hyde Park, MA 02136-2819 - Phone
- (888) 763-7272
- Fax
- (877) 243-2959
- NPI assigned
- May 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 414150 | MA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 414150 | MA | Yes |
Addresses
Primary practice location
1234 Hyde Park Ave
Hyde Park, MA 02136-2819
Mailing address
89 South St
Holbrook, MA 02343-2038
Phone (888) 763-7272
Other providers in Hyde Park, MA
- Best Staffing Agency
- Nigel O'Neal Best
- Bio-Medical Applications of Massachusetts, Inc.
- Joeimy Gonzalez Bloom
- Blueprint Nutrition LLP
- Bonnet Compassionate Health Care Inc
- Racheal Khatisha Boodhan
- Boston Acupuncture Project, Inc.
- Boston Pain Clinic & Primary Care PC
- Amari Bradshaw
All providers in Hyde Park, MA · Behavior Technician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.