Active NPIIndividual providerSole proprietor

Tanycha E Bonilla

Behavior Technician in Hyde Park, Massachusetts

NPI Number1629908512
Practice location
1234 Hyde Park Ave, Hyde Park, MA 02136-2819
Fax
877-243-2959
Last updated
May 21, 2026

Tanycha Enid Bonilla is a Behavior Technician based in Hyde Park, MA. Tanycha Enid Bonilla practices in Hyde Park, MA. The NPI Number for Tanycha Enid Bonilla is 1629908512 and holds a License No. 414150 (MA). The current practice location address for Tanycha Enid Bonilla is 1234 Hyde Park Ave, Hyde Park, MA 02136-2819 and can be reached out via phone at 888-763-7272 and via fax at 877-243-2959.

Provider Profile Details

NPI Number
1629908512
Provider Name
Tanycha Enid Bonilla
Provider Entity Type
Individual
Gender
Female
Address
1234 Hyde Park Ave, Hyde Park, MA 02136-2819
Phone Number
888-763-7272
Fax Number
877-243-2959
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 21, 2026
Last Update Date
May 21, 2026
Certification Date
May 21, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1234 Hyde Park Ave
Hyde Park, MA 02136-2819
Zip
02136-2819
Phone Number
888-763-7272
Fax Number
877-243-2959
Hyde Park, MA 02136Get directions →

Provider Business Mailing Address Details

Address
89 South St
Holbrook, MA 02343-2038
City
Holbrook
State
MA
Zip
02343-2038
Phone Number
888-763-7272
Fax Number
877-243-2959

License Information

License Number
414150
License State
MA
Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tanycha E Bonilla?

The NPI number of Tanycha E Bonilla is 1629908512. It was assigned on May 21, 2026 and is currently active in the NPPES registry.

What is the specialty of Tanycha E Bonilla?

Tanycha E Bonilla is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in MA under license number 414150.

Where does Tanycha E Bonilla practice?

The practice location is 1234 Hyde Park Ave, Hyde Park, MA 02136-2819. The office can be reached at 888-763-7272 (phone) or 877-243-2959 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629908512 directly on the NPPES registry website.

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