Danielle Wethered
Individual provider Active NPI Behavior Analyst · Burlington, CT
NPI 1164319422 · NPPES record last updated Jun 19, 2025
Key facts
- NPI
- 1164319422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1261 (CT)
- Practice address
- 303 George Washington Tpke
Burlington, CT 06013-2416 - Phone
- (860) 792-1595
- NPI assigned
- Jun 19, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1261 | CT | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1261 | CT | Yes |
Addresses
Primary practice location
303 George Washington Tpke
Burlington, CT 06013-2416
Mailing address
303 George Washington Tpke
Burlington, CT 06013-2416
Other providers in Burlington, CT
All providers in Burlington, 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 Jun 19, 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.