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Ai Jia Primavera , BCBA, LABA

Behavior Analyst β€’ Bedford, MA

Active NPI 1700632254 Individual Practitioner Female Practitioner
Practice location in NPPES

54 Middlesex Tpke Ste 103
Bedford, MA 017301411

Call 6178037717 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

54 Middlesex Tpke Ste 103

Bedford, MA 017301411

Telephone 6178037717

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bedford and Massachusetts

39 active clinicians are listed under Behavior Analyst with a practice address in Bedford, MA (4,730 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bedford

0% of these 39 clinicians have the CMS telehealth indicator.

0% of these 39 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-29
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MA 100000531

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated June 29, 2026

Recorded as AI JIA PRIMAVERA, BCBA, LABA

πŸ“
Updated Practice Location September 03, 2024

Registered at 54 MIDDLESEX TPKE STE 103, BEDFORD, MA 017301411 (Tel: 6178037717)

πŸ“
Updated Business Mailing Address September 03, 2024

Registered at 54 MIDDLESEX TPKE STE 103, BEDFORD, MA 017301411 (Tel: 6178037717)

βœ…
NPI Profile Active April 30, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 30, 2024

Registered at 11 CHERRY ST UNIT 2, FAYVILLE, MA 017451005 (Tel: 6178037717)

πŸ“
Business Mailing Address (Initial Record) April 30, 2024

Registered at 11 CHERRY ST UNIT 2, FAYVILLE, MA 017451005 (Tel: 6178037717)

πŸ‘€
Provider Name / Credentials (Initial Record) April 30, 2024

Recorded as AI JIA TAN, BCBA, LABA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2024

Behavior Analyst (license number reported to NPPES: MA 100000531)

🟒
Initial NPI Registration & Enumeration April 25, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700632254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2024
Last Update: June 29, 2026
Sole Proprietor: No

Mailing Address

54 Middlesex Tpke Ste 103

Bedford, MA 017301411

Phone: 6178037717

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.