Healthcare Provider Details

I. General information

NPI: 1730019324
Provider Name (Legal Business Name): ERIN MARIE CANTOR BCBA, LABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 WORCESTER ST STE 102
NATICK MA
01760-2016
US

IV. Provider business mailing address

1619 COMMONWEALTH AVE APT 23
BOSTON MA
02135-4232
US

V. Phone/Fax

Practice location:
  • Phone: 888-362-3970
  • Fax: 508-882-7687
Mailing address:
  • Phone: 888-362-3970
  • Fax: 508-882-7687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLABA10002294
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: