NPI 1730809104 · live from the CMS NPI Registry
Boriken Behavioral Health
Behavior Analyst in Hatillo, PR. National Provider Identifier 1730809104, active.
NPI record
| NPI | 1730809104 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 152 Calle Violeta, Hatillo, PR 00659 |
| Practice phone | 907-726-7828 |
| Mailing address | Po Box 773344, Eagle River, AK 99577 |
| Enumerated | August 29, 2022 |
| Last updated | August 29, 2022 |
| Authorized official | Wendy Carrio, Bcba |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.