Active NPI
Suzanne Letso, BCBA
- Behavior Analyst
- Milford, CT
National Provider Identifier
1295274181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-02-0935
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0026 | MA | MD | Behavioral Analyst |
| 000413-01 | NY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New 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.