NPIMap

Organization Active NPI

Mary Bania Behavioral Consultation, LLC

  • Behavior Analyst
  • Westborough, MA
National Provider Identifier
1750829321
Registry record updated Apr 17, 2018
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Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
000001083 Issued in MA
Legal business name
MARY BANIA BEHAVIORAL CONSULTATION, LLC
Practice address
6 Isaac Miller Rd
Westborough, MA 01581-3605
Phone
(508) 873-5414
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Mrs. Mary Teresa Bania, BCBA, LABA
Title
Owner/Bcba
Phone
(508) 873-5414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 000001083 MA Primary

Addresses

Primary practice location

6 Isaac Miller Rd
Westborough, MA 01581-3605

Mailing address

6 Isaac Miller Rd
Westborough, MA 01581-3605
Phone (508) 873-5414

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1750829321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ISAAC MILLER RD",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813605",
            "telephone_number": "508-873-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ISAAC MILLER RD",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813605",
            "telephone_number": "508-873-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BANIA BEHAVIORAL CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "BANIA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "508-873-5414",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "000001083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.