Active NPI
Christine Noelle Levine, M.S., BCBA
- Behavior Analyst
- East Granby, CT
National Provider Identifier
1295038446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-04-1525
- Practice address
- 15 School Street
East Granby, CT 06026 - Phone
- (860) 413-9538
- Fax
- (860) 838-4241
- NPI assigned
- Dec 9, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-04-1525 | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
15 School Street
East Granby, CT 06026
Mailing address
15 School St.
East Granby, CT 06026
Phone (860) 413-9538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2010.
{
"created_epoch": "1291852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1295038446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SCHOOL ST.",
"city": "EAST GRANBY",
"state": "CT",
"postal_code": "06026",
"telephone_number": "860-413-9538",
"fax_number": "860-838-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SCHOOL STREET",
"city": "EAST GRANBY",
"state": "CT",
"postal_code": "06026",
"telephone_number": "860-413-9538",
"fax_number": "860-838-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "CHRISTINE",
"middle_name": "NOELLE",
"name_prefix": "Mrs.",
"credential": "M.S., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-09",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-04-1525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Granby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.