Boston ABA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1-07-3445 Issued in MA

Legal business name

BOSTON ABA

Practice address

124 Watertown St Ste 2E
Watertown, MA 02472-2500

Phone

(617) 600-4862

Fax

(888) 297-4712

NPI assigned

Sep 15, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Adler Fay, M.ED., BCBA

Title

Clinician

Phone

(617) 600-4862

Specialties & licenses 1

Addresses

Tax ID family

Boston ABA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Boston ABA Inc.

  • Community/Behavioral Health Agency
  • Belmont, MA
  • NPI 1083822357
  NPD tax ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Saccoach, LMHC

  • Mental Health Counselor
  • Norton, MA
  • NPI 1528437886
  NPD (past)

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1962735472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WATERTOWN ST STE 2E",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722500",
            "telephone_number": "617-600-4862",
            "fax_number": "888-297-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WATERTOWN ST STE 2E",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722500",
            "telephone_number": "617-600-4862",
            "fax_number": "888-297-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "FAY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ADLER",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "617-600-4862",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED., BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "1-07-3445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Blitzman
• Joyce E Bloom, M.ED
• Amanda T Bolbotowski, PA-C
• Maria J Bonilla
• Genevieve Bonin, DMD
• Boston ABA Corporation
• Boston Child & Adolescent Assessment LLC
• Suzanne M Boucher, M.ED. LMHC
• Mina Choe Boudreau, D.M.D.
• Erika Bourne, R.N., C.M.T.P.T.

• All providers in Watertown, MA
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.