Active NPI
Danielle Elisabeth Kennedy, M.A., BCBA
- Behavior Analyst
- Bethel, CT
National Provider Identifier
1235675752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-24172
- Practice address
- 56 Maple Avenue Ext
Bethel, CT 06801-1535 - Phone
- (860) 946-0362
- NPI assigned
- Jan 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-24172 | CT | Primary |
Addresses
Primary practice location
56 Maple Avenue Ext
Bethel, CT 06801-1535
Mailing address
56 Maple Avenue Ext
Bethel, CT 06801-1535
Phone (860) 946-0362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C O R E ABA | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Bethel, CT
- NPI 1912328477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483833600000",
"number": "1235675752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 MAPLE AVENUE EXT",
"city": "BETHEL",
"state": "CT",
"postal_code": "068011535",
"telephone_number": "860-946-0362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 MAPLE AVENUE EXT",
"city": "BETHEL",
"state": "CT",
"postal_code": "068011535",
"telephone_number": "860-946-0362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "DANIELLE",
"middle_name": "ELISABETH",
"name_prefix": "Mrs.",
"credential": "M.A., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-08",
"last_updated": "2017-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1-16-24172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethel, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.