Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AI JIA PRIMAVERA BCBA, LABA
NPI 1700632254
Behavior Analyst in Bedford, MA

Active since April 25, 2024
54 MIDDLESEX TPKE STE 103, BEDFORD, MA 01730(617) 803-7717 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 3, 2024, Apr 30, 2024, Apr 25, 2024 (3 updates tracked since 2024).

About Ai Jia Primavera Bcba, Laba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AI JIA PRIMAVERA BCBA, LABA (NPI 1700632254) is an individual behavior analyst provider in Bedford, Massachusetts, licensed in Massachusetts (100000531) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1700632254
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameAI JIA PRIMAVERACredential: BCBA, LABA
Location Address54 MIDDLESEX TPKE STE 103Bedford, MA 01730-1411
Mailing Address54 Middlesex Tpke Ste 103Bedford, MA 01730-1411 · (617) 803-7717
Sole ProprietorNo
Enumeration DateApril 25, 2024
Last NPPES UpdateJune 29, 20263 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
NPI 1700632254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in MA · 100000531
Definition
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.
54 MIDDLESEX TPKE STE 103, Bedford, MA 01730

Other Names 1

Former Name (1)Ai Jia Tan

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
54 MIDDLESEX TPKE STE 103
BEDFORD, MA 01730
Behavior Technician
54 MIDDLESEX TPKE STE 103
BEDFORD, MA 01730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ai Jia Primavera's NPI number?

The NPI number for Ai Jia Primavera is 1700632254. It was assigned to this individual provider in the NPPES registry on April 25, 2024. The provider is also known as Ai Jia Tan.

Where is Ai Jia Primavera located?

Ai Jia Primavera practices at 54 Middlesex Tpke Ste 103, Bedford, MA 01730. The listed phone number is (617) 803-7717.

What is Ai Jia Primavera's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Ai Jia Primavera was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.