Individual
NIKKI BILLIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LABA
Contact information
Practice address
182 MISHAWUM RD, WOBURN, MA 01801-2431
(781) 405-0111
(781) 528-0423
Mailing address
182 MISHAWUM RD, WOBURN, MA 01801-2431
(781) 405-0111
(781) 528-0423
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3039
MA
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
1004745
FALLON
MA
01
—
1303287
MBHP
MA
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
Enumeration date
10/01/2019
Last updated
05/22/2023
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