ANTONIO T BOSTON SAC-IT
NPI 1720358807
Counselor - Addiction (Substance Use Disorder) in Milwaukee, WI

Q: What is Antonio Boston's NPI number?

The NPI number for Antonio Boston is 1720358807. It was assigned to this individual provider in the NPPES registry on January 6, 2012.

Q: What is Antonio Boston's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Antonio Boston was last updated on January 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since January 06, 2012

2821 N 4TH ST STE 139, MILWAUKEE, WI 53212(414) 264-4217(414) 264-4218 Get Directions Write a Review

NPPES record last updated: January 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Antonio T Boston Sac-it NPPES

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

ANTONIO T BOSTON SAC-IT (NPI 1720358807) is an individual addiction (substance use disorder) provider in Milwaukee, Wisconsin, licensed in Wisconsin (16231-130) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1720358807

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameANTONIO T BOSTONCredential: SAC-IT

Location Address2821 N 4TH ST STE 139Milwaukee, WI 53212-2362

Mailing Address2821 N 4th St Ste 139Milwaukee, WI 53212-2362 · (414) 264-4217 · Fax (414) 264-4218

Phone(414) 264-4217

Fax(414) 264-4218

Sole ProprietorNo

Enumeration DateJanuary 6, 2012

✔ NPI 1720358807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WI · 16231-130

2821 N 4TH ST STE 139, Milwaukee, WI 53212

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Other Providers at the Same Location NPPES 3

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

CYNTHIA G EDMOND SAC

Counselor (Addiction (Substance Use Disorder))

2821 N 4TH ST STE 139
MILWAUKEE, WI 53212

Milwaukee County (414) 264-4217

ROSEMARY MELEEN CSAC-IT

Counselor (Addiction (Substance Use Disorder))

2821 N 4TH ST STE 139
MILWAUKEE, WI 53212

Milwaukee County (414) 264-4217

MALYNDA WALKER LPC-IT

Counselor (Professional)

2821 N 4TH ST STE 139
MILWAUKEE, WI 53212

Milwaukee County (414) 264-4217

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 Antonio Boston's NPI number?

The NPI number for Antonio Boston is 1720358807. It was assigned to this individual provider in the NPPES registry on January 6, 2012.

Where is Antonio Boston located?

Antonio Boston practices at 2821 N 4th St Ste 139, Milwaukee, WI 53212. The listed phone number is (414) 264-4217.

What is Antonio Boston's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Antonio Boston was last updated on January 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.