Jayden Bosques

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

373 Ward St
Wallingford, CT 06492-4614

Phone

(475) 303-2473

NPI assigned

Oct 2, 2025

Sex

Male

Sole proprietor

No

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

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.

• Arc Light Behavioral Health Collective LLC

  • Behavior Analyst
  • Wallingford, CT
  • NPI 1578489175
  NPD (past)

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1275407249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 E AMADOR AVE STE 101",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013675",
            "telephone_number": "505-392-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 WARD ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924614",
            "telephone_number": "475-303-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSQUES",
        "first_name": "JAYDEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Bochicchio, PT, DPT, ATC, LAT
• Subbarao Bollepalli, M.D
• Renee Pamela Borecki, DMD
• Sherwin Borsuk, M.D.
• Theresa Bortolan
• Karen Bowman, PT
• Crystal Fasano Boyarsky, FNP
• Bracor, Inc.
• Meara Bransfield
• Anatoly Braylovsky, MD

• All providers in Wallingford, CT
• Behavior Technician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.