Neurodiverse Consulting, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NEURODIVERSE CONSULTING, LLC

Practice address

196 E High St
East Hampton, CT 06424-2007

Phone

(860) 479-0515

NPI assigned

May 29, 2025

Last updated

Jun 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nichole D. Collins, PHD, BCBANPI 1891238853

Title

Ceo

Phone

(860) 990-3657

Specialties & licenses 1

Addresses

Other names 1

• NeuroDiverse Consulting, LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nichole Danyel Collins, PHD, BCBA, LBA

  • Behavior Analyst
  • Glastonbury, CT
  • NPI 1891238853
  NPD Authorized official

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1275426439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 W MAIN ST",
            "city": "AMSTON",
            "state": "CT",
            "postal_code": "062311210",
            "telephone_number": "860-990-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 E HIGH ST",
            "city": "EAST HAMPTON",
            "state": "CT",
            "postal_code": "064242007",
            "telephone_number": "860-479-0515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "349 W Main St",
            "address_purpose": "LOCATION",
            "city": "Amston",
            "state": "CT",
            "postal_code": "062311210",
            "country_code": "US",
            "telephone_number": "860-990-3657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEURODIVERSE CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-990-3657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroDiverse Consulting, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Middlesex Hospital Dba Family Practice Group East Hampton (Family Practice Group East Hampton)
• Maryann Millette, LPC
• Cody Morrissey, DPT
• Tyler Naef, DPT
• Arva Nerenxa
• Kim Novak, LCSW
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• Jeffrey Mark Palmer, OD
• Melanie F Paradis, FNP-BC, APRN
• Lawrence Parsons, APRN FNP-C

• Behavior Analyst in East Hampton, CT
• Providers in East Hampton, 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 16, 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.