Laurie Bonavita, BCBA
Individual provider Active NPI Behavior Analyst · Westfield, MA
NPI 1659646248 · NPPES record last updated Jan 5, 2022
Key facts
- NPI
- 1659646248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-13-14609 (MA)
- Practice address
- 24 Camelot LN
Westfield, MA 01085-5406 - Phone
- (413) 575-8377
- Fax
- (772) 675-9100
- NPI assigned
- Mar 14, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Allies Incorporated | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-14609 | MA | Yes |
Addresses
Primary practice location
24 Camelot LN
Westfield, MA 01085-5406
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (855) 832-6727
Other providers in Westfield, MA
- Savannah Boehnke
- Bonnie Boguszewski
- Jessie Boissy
- Erica Lee Boland
- Bold Embrace Consultations LLC
- Bonkowski Dental, P.C.
- Joseph George Bonkowski Jr.
- William John Bontempi
- Kimberlee Borges
- Noore Borhot
All providers in Westfield, MA · Behavior Analyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2022. 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.