Victoria Desjardin, MS, BCBA/LBA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

680 Mix Ave Apt 2G
Hamden, CT 06514-2364

Phone

(860) 921-6484

NPI assigned

Apr 21, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1003260464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SKYLINE DR",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121732",
            "telephone_number": "860-921-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 MIX AVE APT 2G",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142364",
            "telephone_number": "860-921-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESJARDIN",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "MS, BCBA/LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Hamden, CT
• Providers in Hamden, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.