Active NPIIndividual provider

Laurie Bonavita, BCBA

Behavior Analyst in Westfield, Massachusetts

NPI Number1659646248
Practice location
24 Camelot Ln, Westfield, MA 01085-5406
Fax
772-675-9100
Last updated
January 5, 2022

Laurie Bonavita is a Behavior Analyst based in Westfield, MA. Laurie Bonavita practices in Westfield, MA and has the professional credentials of BCBA. The NPI Number for Laurie Bonavita is 1659646248 and holds a License No. 1-13-14609 (MA). The current practice location address for Laurie Bonavita is 24 Camelot Ln, Westfield, MA 01085-5406 and can be reached out via phone at 413-575-8377 and via fax at 772-675-9100.

Provider Profile Details

NPI Number
1659646248
Provider Name
Laurie Bonavita
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
24 Camelot Ln, Westfield, MA 01085-5406
Phone Number
413-575-8377
Fax Number
772-675-9100
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
March 14, 2012
Last Update Date
January 5, 2022
Certification Date
January 5, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Camelot Ln
Westfield, MA 01085-5406
Zip
01085-5406
Phone Number
413-575-8377
Fax Number
772-675-9100
Westfield, MA 01085Get directions →

Provider Business Mailing Address Details

Address
7108 S Kanner Hwy
Stuart, FL 34997-7462
City
Stuart
State
FL
Zip
34997-7462
Phone Number
855-832-6727
Fax Number
772-675-9100

License Information

License Number
1-13-14609
License State
MA
Taxonomy
Behavior Analyst · 103K00000X · 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 Laurie Bonavita, BCBA?

The NPI number of Laurie Bonavita, BCBA is 1659646248. It was assigned on March 14, 2012 and is currently active in the NPPES registry.

What is the specialty of Laurie Bonavita, BCBA?

Laurie Bonavita, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 1-13-14609.

Where does Laurie Bonavita, BCBA practice?

The practice location is 24 Camelot Ln, Westfield, MA 01085-5406. The office can be reached at 413-575-8377 (phone) or 772-675-9100 (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 1659646248 directly on the NPPES registry website.

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