SANDRA KENNEDY (NPI# 1477079077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477079077 |
| Entity Type | Individual |
| Full Name | SANDRA KENNEDY |
| Practice Address |
30 Buxton Farm Rd Stamford CT 06905-1224 |
| Mailing Address |
213 Coachlight Sq Montrose NY 10548-1252 |
| Practice Telephone | 2036748200 |
| Mailing Telephone | 9142610254 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-17-26472 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144548397 | Sandra Kay Kennedy | Nurse Practitioner | 4965 Beechwood Cir, Avon, IN 46123-4621 | 2010-05-12 |
| 1912070590 | Sandra Huebsch Kennedy | Dentist | 11800 Aberdeen St Ne Ste 110, Blaine, MN 55449-4812 | 2006-11-15 |
| 1306248091 | Sandra Kennedy | Registered Nurse | 3000 41st Street Ocean, Marathon, FL 33050-2373 | 2014-09-24 |
| 1770869281 | Sandra Joan Kennedy | Registered Nurse | 1233 N 30th St, Billings, MT 59101-0127 | 2011-10-27 |
| 1972811610 | Sandra Kennedy | Physical Therapist | 222 Acacia St, Fairfield, CA 94533-3800 | 2010-09-15 |
| 1225194855 | Sandra J. Kennedy | Nurse Practitioner | 140 Sw 146th St, Burien, WA 98166-1912 | 2006-12-28 |
| 1104904473 | Sandra Kennedy | Registered Nurse | 671 Hoes Ln, Piscataway, NJ 08854-5627 | 2006-11-02 |
| Street Address |
30 BUXTON FARM RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982769600 | Soohyun Nam | Nurse Practitioner | 30 Buxton Farm Rd, Stamford, CT 06905 | 2006-12-22 |
| 1043874076 | Alexandra Van Duyne | Behavioral Analyst | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | 2019-04-25 |
| 1457823916 | Evangelina Baez | Behavioral Analyst | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | 2018-12-21 |
| 1144725656 | Kempton Brisport | Social Worker | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | 2018-03-27 |
| 1205331618 | Christy Jean Lanieri | Occupational Therapist | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | 2018-03-27 |
| 1760986079 | Tajhma Dashawn Burroughs | Occupational Therapist | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905 | 2018-03-21 |
| 1437659646 | Diane Zettergren | Occupational Therapist | 30 Buxton Farm Rd, Suite #230, Stamford, CT 06905 | 2018-02-14 |
| 1831606615 | Megan Micola | Physical Therapist | 30 Buxton Farm Rd, Suite #230, Stamford, CT 06905 | 2018-01-03 |
| 1457877417 | Kelly Pombo | Physical Therapist | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905 | 2017-08-21 |
| 1770009722 | Juana Torres | Occupational Therapy Assistant | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905 | 2017-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| 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 |
|---|---|---|---|---|
| 1750942348 | Daniel M. Ferman | Behavioral Analyst | 98 Hoyt St Apt 5l, Stamford, CT 06905-5709 | 2019-06-24 |
| 1538643960 | Ksm Behavioral Services, LLC | Behavioral Analyst | 1867 Summer St Fl 3, Stamford, CT 06905-5016 | 2018-09-21 |
| 1184134181 | Indrani Bagchi | Behavioral Analyst | 207 Barncroft Rd, Stamford, CT 06902-1207 | 2017-10-04 |
| 1104293414 | Kara Santiago | Behavioral Analyst | 180 Broad St Apt 1206, Stamford, CT 06901-2077 | 2015-08-24 |
| 1962888263 | Michael R Toto | Behavioral Analyst | 284 Glenbrook Rd, Stamford, CT 06906-2517 | 2015-08-10 |
| 1346674348 | Nancy Revangil | Behavioral Analyst | 46 Grant Ave, Stamford, CT 06902-4128 | 2013-08-26 |
| 1962842930 | Tatiana Wachsmuth | Behavioral Analyst | 19 Pinewood Rd, Stamford, CT 06903-2522 | 2013-07-04 |
| 1336499748 | Danielle Daure | Behavioral Analyst | 202 Soundview Ave Unit 51, Stamford, CT 06902-7046 | 2012-09-12 |
| 1902888449 | Easter Seals Connecticut Inc. | Behavioral Analyst | 733 Summer St, Stamford, CT 06901-1081 | 2005-11-18 |
| 1720689151 | Natasha Alexandra Kodiak | Behavioral Analyst | 1011 High Ridge Rd, Stamford, CT 06905-1610 | 2020-11-03 |
| Find all providers in STAMFORD | ||||
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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.