Healthcare Provider Details

I. General information

NPI: 1568259976
Provider Name (Legal Business Name): MYIA MARIA ANGELINA BOYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 MATTHEWS RD
SWANZEY NH
03446-3500
US

IV. Provider business mailing address

237 MEETINGHOUSE RD
HINSDALE NH
03451-2021
US

V. Phone/Fax

Practice location:
  • Phone: 603-356-6616
  • Fax: 603-365-6617
Mailing address:
  • Phone: 603-903-4797
  • Fax: 603-903-4797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: