Provider Demographics
NPI:1891310835
Name:COSTA, HELENA JOHNER (MA, LBA, BCBA)
Entity type:Individual
Prefix:
First Name:HELENA
Middle Name:JOHNER
Last Name:COSTA
Suffix:
Gender:F
Credentials:MA, LBA, BCBA
Other - Prefix:
Other - First Name:HELENA
Other - Middle Name:
Other - Last Name:JOHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 TAYLOR PL
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-4313
Mailing Address - Country:US
Mailing Address - Phone:203-529-5123
Mailing Address - Fax:888-761-5161
Practice Address - Street 1:139 CHARLES ST STE 388
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3282
Practice Address - Country:US
Practice Address - Phone:203-529-5123
Practice Address - Fax:888-761-5161
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst