COLLABORATIVE ABA SERVICES, LLC (NPI# 1427619626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427619626 |
| Entity Type | Organization |
| Organization Name | COLLABORATIVE ABA SERVICES, LLC |
| Practice Address |
515 Centerpoint Drive Suite 205 Middletown CT 06457 |
| Practice Telephone | 8604214052 |
| Practice Fax Number | 8604214053 |
| Mailing Telephone | 8604214052 |
| Mailing Fax Number | 8604214053 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2020-05-30 |
| Authorized Official Name | ALISHA SIMPSON-WATT (DIRECTOR/OWNER) |
| Authorized Official Telephone | 8604214052 |
| Authorized Official Credential | LCSW, BCBA, LBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Collaborative Aba Services, LLC | 515 Centerpoint Drive, Suite #205, Middletown, CT 06457 |
| Street Address |
515 CENTERPOINT DRIVE SUITE 205 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| 1265880116 | Cynthia Holley | Pharmacist | 855 Washington St., Middletown, CT 06457 | 2016-06-01 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163614 | Ella Behavioral Health and Consulting LLC | Social Worker | 602 Cambridge Cmns, Middletown, CT 06457-5871 | 2020-10-28 |
| 1285249797 | Lucinda M Cadet | Social Worker | 600 N. Broad Street, Suite 5, #768, Middletown, DE 19709 | 2020-09-11 |
| 1497373807 | Cassandra Mello | Social Worker | 38 Commerce Dr, Middletown, RI 02842-6291 | 2020-07-13 |
| 1386282820 | Ryan Cooperhouse | Social Worker | 19 Kamar Ct, Middletown, NJ 07748-3424 | 2019-12-16 |
| 1356806483 | Terry Janette Gaspard | Social Worker | 42 Valley Rd Ste 3c, Middletown, RI 02842-6376 | 2019-02-03 |
| 1821588468 | Full and Fit Family LLC | Social Worker | 363 Main St Ste 513, Middletown, CT 06457-3359 | 2018-05-17 |
| 1205324845 | Meryle Robin Lederer | Social Worker | 35 Randall Hts, Middletown, NY 10940-4630 | 2018-04-30 |
| 1902393986 | Akeeso Counseling Services | Social Worker | 608 Ingrassia Rd, Middletown, NY 10940-2237 | 2018-04-16 |
| 1962909424 | Jannett Julia Hernandez | Social Worker | 1227 Central Ave, Middletown, OH 45044-4103 | 2018-04-11 |
| 1497252134 | Michael Miarecki Counseling LLC | Social Worker | 363 Main St Ste 311, Middletown, CT 06457-3359 | 2018-04-10 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.