Provider Demographics
NPI:1679374631
Name:WINSTON, NEKA S (RBT-23-303329)
Entity type:Individual
Prefix:
First Name:NEKA
Middle Name:S
Last Name:WINSTON
Suffix:
Gender:
Credentials:RBT-23-303329
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:997 HYDE PARK AVE # 2
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-3161
Mailing Address - Country:US
Mailing Address - Phone:617-704-1113
Mailing Address - Fax:
Practice Address - Street 1:1266 FURNACE BROOK PKWY STE 410
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4778
Practice Address - Country:US
Practice Address - Phone:617-693-4434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician