Isabella Santina Vadi
Individual provider Active NPI Behavior Technician · East Hartford, CT
NPI 1194485482 · NPPES record last updated Dec 28, 2021
Key facts
- NPI
- 1194485482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- BACB688890 (CT)
- Practice address
- 144 Main St Ste G
East Hartford, CT 06118-3239 - Phone
- (888) 754-0398
- NPI assigned
- Dec 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| BACB688890 | CT | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB688890 | CT | Yes |
Addresses
Primary practice location
144 Main St Ste G
East Hartford, CT 06118-3239
Mailing address
56 Oxford St
Hartford, CT 06105-2914
Phone (860) 836-2476
NPI Registry JSON
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1194485482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 OXFORD ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061052914",
"telephone_number": "860-836-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 MAIN ST STE G",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061183239",
"telephone_number": "888-754-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADI",
"first_name": "ISABELLA",
"middle_name": "SANTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-28",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CT",
"license": "BACB688890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Hartford, CT
- Michael Andrew Tyskiewicz
- Uconn Health Center Anesthesiology
- Unirose Home Care LLC
- Universal Home Care Services, LLC
- Nicole Usher
- Misbah M Vahidy
- Luz Esther Valentin
- Raschel Valle
- Jennifer Valva
- Vanguard Behavioral Health LLC
All providers in East Hartford, CT · Behavior Technician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2021. 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.