Audrey Gifford, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0082 Issued in MA

Practice address

97 Derek Dr
Tolland, CT 06084-2631

Phone

(860) 454-8649

NPI assigned

Mar 1, 2016

Last updated

Mar 1, 2016By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimized Autism Interventions, LLC

  • Community/Behavioral Health Agency
  • Tolland, CT
  • NPI 1679934772
  Authorized official Same address or phone

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1275993404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 DEREK DR",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842631",
            "telephone_number": "860-454-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 DEREK DR",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842631",
            "telephone_number": "860-454-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "AUDREY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "0082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traver Garrity, L.AC.
• Alyson Gaylord, MS, RD
• Tristin Elizabeth Geist, APRN
• Adeline Gianutsos
• Jenifer L Gietek, LCSW
• Rebecca Gilbert Johnson
• Carrie Elizabeth Gill, BCABA
• Niloo Gorji
• Guy W Gottier, D.C.
• Ashley Gould, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.