Healthcare Provider Details
I. General information
NPI: 1366128043
Provider Name (Legal Business Name): ANNA HEALTH INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2023
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
490 BOSTON POST RD STE 1A
SUDBURY MA
01776-3367
US
IV. Provider business mailing address
867 BOYLSTON ST
BOSTON MA
02116-2774
US
V. Phone/Fax
- Phone: 617-693-5767
- Fax: 866-450-0941
- Phone: 617-693-5767
- Fax: 866-450-0941
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AIMUN
MALIK
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 617-693-5767