Jediah Agyenim-Boateng
Behavior Technician in Worcester, Massachusetts
1760325351- Practice location
- 48 Elm St, Worcester, MA 01609-2541
- Phone
- 508-225-6634
- Fax
- —
- Last updated
- July 28, 2026
Jediah Agyenim-Boateng is a Behavior Technician based in Worcester, MA. Jediah Agyenim-Boateng practices in Worcester, MA. The NPI Number for Jediah Agyenim-Boateng is 1760325351 and holds a License No. SA5391593 (MA). The current practice location address for Jediah Agyenim-Boateng is 48 Elm St, Worcester, MA 01609-2541 and can be reached out via phone at 508-225-6634.
Provider Profile Details
- NPI Number
- 1760325351
- Provider Name
- Jediah Agyenim-Boateng
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 48 Elm St, Worcester, MA 01609-2541
- Phone Number
- 508-225-6634
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 10, 2026
- Last Update Date
- July 28, 2026
- Certification Date
- July 28, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 48 Elm St
Worcester, MA 01609-2541 - City
- Worcester
- State
- Massachusetts
- Zip
- 01609-2541
- Phone Number
- 508-225-6634
Provider Business Mailing Address Details
- Address
- 1 Good Harbor Dr
Worcester, MA 01606-1188 - City
- Worcester
- State
- MA
- Zip
- 01606-1188
- Phone Number
- 508-713-5813
License Information
- License Number
- SA5391593
- License State
- MA
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jediah Agyenim-Boateng?
The NPI number of Jediah Agyenim-Boateng is 1760325351. It was assigned on April 10, 2026 and is currently active in the NPPES registry.
What is the specialty of Jediah Agyenim-Boateng?
Jediah Agyenim-Boateng is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in MA under license number SA5391593.
Where does Jediah Agyenim-Boateng practice?
The practice location is 48 Elm St, Worcester, MA 01609-2541. The office can be reached at 508-225-6634 (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 1760325351 directly on the NPPES registry website.