AUTISM BEHAVIORAL HEALTH (NPI# 1407399660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407399660 |
| Entity Type | Organization |
| Organization Name | AUTISM BEHAVIORAL HEALTH |
| Practice Address |
100 Reserve Rd Ste F300 Danbury CT 06810 |
| Practice Telephone | 2034295318 |
| Practice Fax Number | 2036284388 |
| Mailing Telephone | 2034295318 |
| Mailing Fax Number | 2036284388 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2020-07-24 |
| Authorized Official Name | JESSIE WONG (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2038841268 |
| Authorized Official Credential | BCBA, LBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | AUTISM BEHAVIORAL HEALTH, LLC | 7 Old Sherman Tpke Suite 200, Danbury, CT 06810 |
| Street Address |
100 RESERVE RD STE F300 |
| City | DANBURY |
| State | CT |
| Zip Code | 06810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134231 | Samantha Brundage | Behavioral Analyst | 100 Reserve Rd Ste F300, Danbury, CT 06810-5269 | 2020-11-05 |
| 1962034520 | Abigail Tarleton Kirchem-butts | Behavioral Analyst | 100 Reserve Rd Ste F300, Danbury, CT 06810-5269 | 2020-02-11 |
| 1114558962 | Marci Lynn Kennen | Behavioral Analyst | 100 Reserve Rd Ste F300, Danbury, CT 06810-5269 | 2020-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203822 | Naturalistic Learning Center LLC | Behavioral Analyst | 215 Brushy Hill Rd, Danbury, CT 06810-8430 | 2020-01-03 |
| 1942866058 | Jessica M Nourse-stuart | Behavioral Analyst | 13 Mabel Ave, Danbury, CT 06811-3740 | 2019-05-14 |
| 1831675974 | Courtney Gesualdi | Behavioral Analyst | 100 Mill Plain Rd Ste 1c, Danbury, CT 06811-5178 | 2018-07-12 |
| 1841741097 | Kathleen Watkins | Behavioral Analyst | 5 Grenier Dr, Danbury, CT 06810-8209 | 2016-10-21 |
| 1871040402 | Heloisa Momesso | Behavioral Analyst | 6 Golden Hill Rd, Unit 2, Danbury, CT 06811-4655 | 2016-09-01 |
| 1598109340 | Jessie Wuiyi Wong | Behavioral Analyst | 7 Old Sherman Tpke Ste 200, Danbury, CT 06810 | 2013-04-23 |
| 1194019489 | Ajit C Doolabh | Behavioral Analyst | 45 Brittania Dr, Danbury, CT 06811-2613 | 2011-06-03 |
| 1275134231 | Samantha Brundage | Behavioral Analyst | 100 Reserve Rd Ste F300, Danbury, CT 06810-5269 | 2020-11-05 |
| 1932712734 | Brandi Brielle Cedeno | Behavioral Analyst | 100 Mill Plain Rd Ste 1c, Danbury, CT 06811-5178 | 2020-08-31 |
| 1962034520 | Abigail Tarleton Kirchem-butts | Behavioral Analyst | 100 Reserve Rd Ste F300, Danbury, CT 06810-5269 | 2020-02-11 |
| Find all providers in DANBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.