Cynthia Woodis West, M.A., BCBA

Individual provider Active NPI Behavior Analyst · Stonington, CT

NPI 1235508573 · NPPES record last updated Sep 16, 2015

Key facts

NPI
1235508573
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-13-12873 (CT)
Practice address
17 Oak St
Stonington, CT 06378-2766
Phone
(860) 642-7379
Fax
(860) 201-1200
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Familywise, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-12873 CT Yes

Addresses

Primary practice location

17 Oak St
Stonington, CT 06378-2766

Mailing address

PO Box 26
Mystic, CT 06355-0026
Phone (860) 642-7379

Other providers in Stonington, CT

All providers in Stonington, CT · Behavior Analyst in Connecticut

Sources for this page

Verify at the official NPI Registry.