Andrea Nault, MA, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11830934 Issued in CT

Practice address

957 N McQueen Rd
Chandler, AZ 85225-8136

Phone

(860) 208-5365

NPI assigned

Oct 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

Practice roles

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.

• United Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayville, CT
  • NPI 1063413011
  NPD (past)

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1265984892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 N MCQUEEN RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258136",
            "telephone_number": "860-208-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 N MCQUEEN RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258136",
            "telephone_number": "860-208-5365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 H St Ste L",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "94952",
            "country_code": "US",
            "telephone_number": "866-206-2008",
            "fax_number": "866-317-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7567 Amador Valley Blvd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "CA",
            "postal_code": "945682442",
            "country_code": "US",
            "telephone_number": "860-208-5365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Putnam Road",
            "address_purpose": "LOCATION",
            "city": "Wauregan",
            "state": "CT",
            "postal_code": "063870378",
            "country_code": "US",
            "telephone_number": "860-564-6100",
            "fax_number": "860-564-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAULT",
        "first_name": "ANDREA",
        "credential": "MA, MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "11830934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004040564",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.