Veronica L Bermeo-Garzon

Individual provider Active NPI Behavior Analyst · Newington, CT

NPI 1295440436 · NPPES record last updated Jan 23, 2023

Key facts

NPI
1295440436
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1560 (CT)
Practice address
67 Chapman St
Newington, CT 06111-1702
Phone
(860) 559-1060
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1560CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Great Ambitions, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1560 CT Yes

Addresses

Primary practice location

67 Chapman St
Newington, CT 06111-1702

Mailing address

24 Henry St
New Britain, CT 06051-3215
Phone (860) 829-7533

Other providers in Newington, CT

All providers in Newington, CT · Behavior Analyst in Connecticut

Sources for this page

Verify at the official NPI Registry.