Organization Active NPI

Learning to Fly ABA, LLC

  • Behavior Analyst
  • West Haven, CT
National Provider Identifier
1184339525
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LEARNING TO FLY ABA, LLC
Practice address
124 Putney Dr
West Haven, CT 06516-2931
Phone
(203) 814-7236
NPI assigned
Jan 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brielle Heinl, BCBA, LBANPI 1922461516
Title
Founder, Executive Director
Phone
(203) 814-7236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

124 Putney Dr
West Haven, CT 06516-2931

Mailing address

124 Putney Dr
West Haven, CT 06516-2931
Phone (203) 814-7236

Other identifiers 2

IdentifierTypeStateIssuer
1087OtherCTCONNECTICUT LICENSE NUMBER
1-20-46830OtherBEHAVIOR ANALYSIS CERTIFICATION BOARD NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1184339525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PUTNEY DR",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162931",
            "telephone_number": "203-814-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PUTNEY DR",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162931",
            "telephone_number": "203-814-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEARNING TO FLY ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "HEINL",
        "authorized_official_first_name": "BRIELLE",
        "authorized_official_title_or_position": "FOUNDER, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-814-7236",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT LICENSE NUMBER",
            "identifier": "1087",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYSIS CERTIFICATION BOARD NUMBER",
            "identifier": "1-20-46830",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.