Angelica Marie Costas

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

75 Groton School Rd Apt G1
Ayer, MA 01432-1032

Phone

(978) 751-1922

NPI assigned

Feb 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1689173841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GROTON SCHOOL RD",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321041",
            "telephone_number": "978-751-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GROTON SCHOOL RD APT G1",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321032",
            "telephone_number": "978-751-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTAS",
        "first_name": "ANGELICA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam W Cerel, MD
• Jonathan Chack, M.A.
• Christa L. Maxant, Inc.
• Kelly Colton
• Robyn Coons, LICSW, BCD
• Christina L Cozza
• Hilary Ann Curtis, PH.D., LMHC
• Megan Cushing, LICSW
• Steven Louis D'Angelo, MA
• Jeremy Dautrich, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.