Chickadee Behavioral Consulting, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-13804 Issued in CT

Legal business name

CHICKADEE BEHAVIORAL CONSULTING, LLC

Practice address

696 Chickadee LN
Stratford, CT 06614-2410

Phone

(203) 240-0174

NPI assigned

Jun 5, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Travis K Passaro, MAPSYCH, BCBA

Title

Owner

Phone

(203) 240-0174

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225567209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 CHICKADEE LN",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066142410",
            "telephone_number": "203-240-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 CHICKADEE LN",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066142410",
            "telephone_number": "203-240-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICKADEE BEHAVIORAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PASSARO",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-240-0174",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAPSYCH, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-13-13804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Stratford, CT
• Providers in Stratford, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.