Kayla Marie Bellanca, M.A., BCBA, LBA
Individual provider Active NPI Behavior Analyst · Cromwell, CT
NPI 1104468693 · NPPES record last updated Nov 15, 2019
Key facts
- NPI
- 1104468693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 869 (CT)
- Practice address
- 162 West St Ste F
Cromwell, CT 06416-4405 - Phone
- (860) 613-9930
- Fax
- (860) 613-9952
- NPI assigned
- Oct 16, 2019
- 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
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 869 | CT | |
| Behavior Analyst | 103K00000X | 869 | CT | 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
- Kristine Beckford
- Amanda Jo Begley
- Behavioral Education Assessment and Consultation Services of CT, Inc.
- Behavioral Education Assessment Consultation Services
- Brayan Belizaire
- Kathryn Marie Bellas
- Sarah Bendor
- Kristina Bentley
- Russell Bernstein
- Erin Bials
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 Nov 15, 2019. 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.