IndividualActive
Ai Jia Tan, BCBA, LABA
NPI 1700632254 · Behavior Analyst · Bedford, MA
Provider details
- NPI number
- 1700632254
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA, LABA
- Sex
- Female
- Sole proprietor
- No
- License
- 100000531 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
54 Middlesex Tpke Ste 103
Bedford, MA 01730-1411
Phone: (617) 803-7717
Approximate (ZIP-level) locationGet directions
Mailing address
54 Middlesex Tpke Ste 103
Bedford, MA 01730-1411
Registry dates
- Enumerated
- 2024-04-25
- Last updated
- 2024-09-03
- Certified
- 2024-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.