Ashley Betancourt

Individual provider Active NPI Behavior Analyst · Newington, CT

NPI 1104437664 · NPPES record last updated Aug 10, 2020

Key facts

NPI
1104437664
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
705 N Mountain Rd Ste A101
Newington, CT 06111-1431
Phone
(860) 233-3033
Fax
(858) 924-0244
NPI assigned
Aug 10, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Synct Collaborative Therapy Behavior Analyst Past
since Oct 1, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

705 N Mountain Rd Ste A101
Newington, CT 06111-1431

Mailing address

705 N Mountain Rd Ste A101
Newington, CT 06111-1431

Other providers in Newington, CT

All providers in Newington, CT · Behavior Analyst in Connecticut

Sources for this page

Verify at the official NPI Registry.