Active NPI
Hannah Fay, BCBA
- Behavior Analyst
- West Hartford, CT
National Provider Identifier
1144862467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 882
- Practice address
- 101 South St FL 2
West Hartford, CT 06110-1967 - Phone
- (860) 578-1300
- NPI assigned
- Oct 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 882 | CT | Primary |
Addresses
Primary practice location
101 South St FL 2
West Hartford, CT 06110-1967
Mailing address
89 Lancaster Rd
West Hartford, CT 06119-1525
Phone (860) 324-9236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 882 | CT | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SB Transitional Sub, LLC | Past | Accepting new patients |
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.
-
- Developmental Disabilities Clinic/Center
- West Hartford, CT
- NPI 1811574064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1144862467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 LANCASTER RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191525",
"telephone_number": "860-324-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SOUTH ST FL 2",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061101967",
"telephone_number": "860-578-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAY",
"first_name": "HANNAH",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-09",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.