Destiny Elizabeth St. Amand, BCBA
Individual provider Active NPI Behavior Analyst · Colebrook, CT
NPI 1134092695 · NPPES record last updated Sep 29, 2025
Key facts
- NPI
- 1134092695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-25-83666 (CT)
- Practice address
- 71 Pine Rd
Colebrook, CT 06021-3721 - Phone
- (860) 806-3705
- NPI assigned
- Sep 29, 2025
- 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 | 1-25-83666 | CT | Yes |
Addresses
Primary practice location
71 Pine Rd
Colebrook, CT 06021-3721
Mailing address
71 Pine Rd
Colebrook, CT 06021-3721
Phone (860) 806-3705
Other providers in Colebrook, CT
- Agape Counseling Services LLC
- Continence Care, LLC
- Ferrari Behavioral and Advocacy Services
- Susanne Harrison
- Barbara Meeker
- Molly Toomey
- Lynn Walton Whelchel Jr.
All providers in Colebrook, 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 Sep 29, 2025. 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.