Healthcare Provider Details

I. General information

NPI: 1730094574
Provider Name (Legal Business Name): ASHLEY AGUIAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY NIGGL

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MORRISSEY BLVD
BOSTON MA
02125-3393
US

IV. Provider business mailing address

100 MORRISSEY BLVD
BOSTON MA
02125-3300
US

V. Phone/Fax

Practice location:
  • Phone: 978-875-2763
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number462624
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: