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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 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: July 19, 2026.

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

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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 a behavior analyst provider in Bedford, Massachusetts, licensed in Massachusetts (100000531) and active in the NPI registry since April 2024.Information from the official NPPES registry record, last updated June 29, 2026.

NPPES Registry Identity

NPI1700632254
Entity TypeIndividualFemale
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
Phone(617) 803-7717
Sole ProprietorNo
Enumeration DateApril 25, 2024
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1700632254 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Behavior Analyst

Taxonomy 103K00000X · Behavioral Health & Social Service Providers

✔ Licensed in 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… Show more

54 MIDDLESEX TPKE STE 103, Bedford, MA 01730
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Also on File with NPPES

Other Names1
Ai Jia Tan (Former Name (1))
Last updated in NPPES on June 29, 2026 · 3 updates tracked since enumeration.

Reviews for AI JIA PRIMAVERA BCBA, LABA

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

JOCELYN A FORREST BCBA, LABA
Behavior Analyst
54 MIDDLESEX TPKE STE 103
BEDFORD, MA 01730
Middlesex County (617) 402-5444
ANNA LEVY
Behavior Technician
54 MIDDLESEX TPKE STE 103
BEDFORD, MA 01730
Middlesex County (617) 402-5444

Frequently Asked Questions

What is Ai Jia Primavera's NPI number?

The NPI number assigned to this healthcare provider is 1700632254, enumerated as an "individual" on April 25, 2024.

Where is the provider located?

The provider is located at 54 MIDDLESEX TPKE STE 103 BEDFORD, MA 01730 and the phone number is (617) 803-7717.

What is the provider's specialty?

Behavior Analyst with taxonomy code 103K00000X.