Harold Lee Whitehead Jr., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12148029 Issued in CT

Practice address

3 Ashwood LN
Brookfield, CT 06804-3239

Phone

(203) 501-9131

NPI assigned

Jan 24, 2022

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pierpointe Behavior Analysts of Connecticut, LLC

  • Behavior Analyst
  • Brookfield, CT
  • NPI 1295397081
  NPD (past)

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1033861794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ASHWOOD LN",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043239",
            "telephone_number": "203-501-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ASHWOOD LN",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043239",
            "telephone_number": "203-501-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "HAROLD",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "12148029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Connecticut Behavioral Health
• Western CT Counseling Associates
• Diana Westin, MS, OTR/L
• Noah Westphal, PHARMD
• Thomas M Whelan, M.D.
• Debra A Widman, MS,OTR/L
• Matthew J Wilcox
• Marion Williams, LPC
• Alison Patricia Winsor, APRN
• Ramy Shaker Wisa, DDS

• Behavior Analyst in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.