Thomas Heisler, MS BCBA
Individual provider Active NPI Behavior Analyst · Brattleboro, VT
NPI 1003484080 · NPPES record last updated Jun 22, 2021
Key facts
- NPI
- 1003484080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-2-49264 (VT)
- Practice address
- 51 Fairview Street
Brattleboro, VT 05301-6629 - Phone
- (802) 254-6028
- Fax
- (802) 254-7501
- NPI assigned
- Jun 15, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.134212 | VT | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care and Rehabilitation Services of Southeastern Vermont, Inc. | Past |
Accepting new patients | |
| Health Care and Rehabilitation Services of Southeastern Vermont, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 146.134212 | VT | |
| Behavior Analyst | 103K00000X | 1-2-49264 | VT | Yes |
Addresses
Primary practice location
51 Fairview Street
Brattleboro, VT 05301-6629
Mailing address
390 River Street
Springfield, VT 05156-2226
Phone (802) 886-4500
Other providers in Brattleboro, VT
- Rachel Hebert
- Valerie Hebert
- Valli Rae Hecht
- Jack J. Heddon
- Linda Reyman Heimerdinger
- Nina Rovinelli Heller
- Caroline Lee Henderson
- Travis Brett Henderson
- Hirving Henriquez
- Taryn Heon
All providers in Brattleboro, VT · Behavior Analyst in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.