Sydney Irene Warchol, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB459371 Issued in CT

Practice address

709 Enfield St
Enfield, CT 06082-2903

Phone

(860) 745-7144

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1265161434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SEYMOUR RD UNIT 1C",
            "city": "EAST GRANBY",
            "state": "CT",
            "postal_code": "060269603",
            "telephone_number": "860-490-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 ENFIELD ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060822903",
            "telephone_number": "860-745-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARCHOL",
        "first_name": "SYDNEY",
        "middle_name": "IRENE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "BACB459371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Walters, LCSW
• Mary Walters
• Thandi Walters, MD
• Joseph D Wambolt, PHARMD, RPH
• Megan Wanczyk, LPN
• Stacy Warnock, RN
• Ashla R Warren
• Theresa Watkins-Daley
• Alexander Watkins, DPT
• Kieauntae F Watkins

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.