Sadi-Ann Duckett

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-50200 Issued in CT

Practice address

162 Roselle St
Bridgeport, CT 06604-1422

Phone

(203) 522-3439

NPI assigned

Sep 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Pure Space Consultation

  • Behavior Analyst
  • Bridgeport, CT
  • NPI 1225889066
  NPD Authorized official
• Apex Educational Solutions, LLC

  • Behavior Analyst
  • East Hampton, CT
  • NPI 1619410685
  NPD (past)

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711756800000",
    "number": "1083228043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ROSELLE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066041422",
            "telephone_number": "203-522-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 ROSELLE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066041422",
            "telephone_number": "203-522-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKETT",
        "first_name": "SADI-ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-21-50200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE FROM DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "1238",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-21-50200",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janelle Duah, MD
• Freddy Duarte Lau, M.D.
• Sheila Dubose-Cooper, APRN
• Jessica Dubret
• Lynn S Duchan, M.S., M.A.
• Andrew Thomas Dudzik
• Dianne Duffey, M.D.
• Maxim Dulgher, MD
• Chad Edward Dumont, D.C.
• Richard Dunn

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; 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.