Organization Active NPI

Reach to Be Limited Liability

  • Behavior Analyst
  • Cromwell, CT
National Provider Identifier
1053021212
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
REACH TO BE LIMITED LIABILITY
Practice address
34-3 Shunpike Rd # 218
Cromwell, CT 06416-2490
Phone
(860) 834-2368
Fax
(866) 734-8280
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Ivette CortesNPI 1639305949
Title
Owner
Phone
(860) 834-2368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

34-3 Shunpike Rd # 218
Cromwell, CT 06416-2490

Mailing address

34-3 Shunpike Rd # 218
Cromwell, CT 06416-2490
Phone (860) 834-2368

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1053021212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34-3 SHUNPIKE RD # 218",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162490",
            "telephone_number": "860-834-2368",
            "fax_number": "866-734-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-3 SHUNPIKE RD # 218",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162490",
            "telephone_number": "860-834-2368",
            "fax_number": "866-734-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH TO BE LIMITED LIABILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-834-2368"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.