Mirella Calle
Individual provider Active NPI Behavior Analyst · Cromwell, CT
NPI 1063164366 · NPPES record last updated Jan 19, 2022
Key facts
- NPI
- 1063164366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 162 West St Ste F
Cromwell, CT 06416-4405 - Phone
- (860) 613-9930
- NPI assigned
- Jan 19, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
162 West St Ste F
Cromwell, CT 06416-4405
Mailing address
162 West St Ste F
Cromwell, CT 06416-4405
Phone (860) 613-9930
Other providers in Cromwell, CT
- C. Brendan Montano MD PC
- Daniel Cahill
- Mark Calixte
- Antoinette Callahan
- Daniela Calle
- Sthefany Beatriz Calle
- Giovanna Maria Cammuso
- Jacquiline Nicole Campbell
- Kara Candelori
- Emma Caitlin Carillo
All providers in Cromwell, CT · Behavior Analyst in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2022. 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.