Healthcare Provider Details

I. General information

NPI: 1023589280
Provider Name (Legal Business Name): ANN AMON-KARANJA BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2018
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 LINCOLN ST
FRAMINGHAM MA
01702-8205
US

IV. Provider business mailing address

14 TANNERS PATH
MARLBOROUGH MA
01752-6457
US

V. Phone/Fax

Practice location:
  • Phone: 508-251-1976
  • Fax:
Mailing address:
  • Phone: 781-983-4118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: