Individual provider Active NPI

Suzanne Letso, BCBA

  • Behavior Analyst
  • Milford, CT
National Provider Identifier
1295274181
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-02-0935 Issued in CO
Practice address
95 Wolf Harbor Rd
Milford, CT 06461-1938
Phone
(203) 882-8810
Fax
(203) 878-9468
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-02-0935 CO Primary
Behavior Analyst 103K00000X 000413-01 NY
Behavior Analyst 103K00000X 0026 MA

Addresses

Primary practice location

95 Wolf Harbor Rd
Milford, CT 06461-1938

Mailing address

95 Wolf Harbor Road
Milford, CT 06461
Phone (203) 882-8810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0026MAMDBehavioral Analyst
000413-01NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Behavioral Services, Inc. Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1295274181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WOLF HARBOR ROAD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06461",
            "telephone_number": "203-882-8810",
            "fax_number": "203-878-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WOLF HARBOR RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064611938",
            "telephone_number": "203-882-8810",
            "fax_number": "203-878-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETSO",
        "first_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-02-0935",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000413-01",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "0026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.