Ai Jia Primavera, BCBA, LABA
Behavior Analyst in Bedford, Massachusetts
1700632254- Practice location
- 54 Middlesex Tpke Ste 103, Bedford, MA 01730-1411
- Phone
- 617-803-7717
- Fax
- —
- Last updated
- June 29, 2026
Ai Jia Primavera is a Behavior Analyst based in Bedford, MA. Ai Jia Primavera practices in Bedford, MA and has the professional credentials of BCBA, LABA. The NPI Number for Ai Jia Primavera is 1700632254 and holds a License No. 100000531 (MA). The current practice location address for Ai Jia Primavera is 54 Middlesex Tpke Ste 103, Bedford, MA 01730-1411 and can be reached out via phone at 617-803-7717.
Provider Profile Details
- NPI Number
- 1700632254
- Provider Name
- Ai Jia Primavera
- Credential
- BCBA, LABA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 54 Middlesex Tpke Ste 103, Bedford, MA 01730-1411
- Phone Number
- 617-803-7717
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Other Names
- Ai Jia Tan (Former Name)
- Provider Enumeration Date
- April 25, 2024
- Last Update Date
- June 29, 2026
- Certification Date
- June 29, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 54 Middlesex Tpke Ste 103
Bedford, MA 01730-1411 - City
- Bedford
- State
- Massachusetts
- Zip
- 01730-1411
- Phone Number
- 617-803-7717
Provider Business Mailing Address Details
- Address
- 54 Middlesex Tpke Ste 103
Bedford, MA 01730-1411 - City
- Bedford
- State
- MA
- Zip
- 01730-1411
- Phone Number
- 617-803-7717
License Information
- License Number
- 100000531
- License State
- MA
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Analysts near Bedford, MA
View all Behavior Analysts in Bedford →Frequently Asked Questions
What is the NPI number of Ai Jia Primavera, BCBA, LABA?
The NPI number of Ai Jia Primavera, BCBA, LABA is 1700632254. It was assigned on April 25, 2024 and is currently active in the NPPES registry.
What is the specialty of Ai Jia Primavera, BCBA, LABA?
Ai Jia Primavera, BCBA, LABA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 100000531.
Where does Ai Jia Primavera, BCBA, LABA practice?
The practice location is 54 Middlesex Tpke Ste 103, Bedford, MA 01730-1411. The office can be reached at 617-803-7717 (phone).
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 1700632254 directly on the NPPES registry website.