Active NPI
Danielle Vaivoda-Odle
- Behavior Analyst
- West Hartford, CT
National Provider Identifier
1295564367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-72056
- Practice address
- 71 Raymond Rd
West Hartford, CT 06107-2211 - Phone
- (239) 986-9398
- NPI assigned
- Jul 29, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-72056 | CT | Primary |
Addresses
Primary practice location
71 Raymond Rd
West Hartford, CT 06107-2211
Mailing address
61 Brentwood Dr
Cheshire, CT 06410-3407
Phone (203) 446-1221
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1295564367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 BRENTWOOD DR",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103407",
"telephone_number": "203-446-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 RAYMOND RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061072211",
"telephone_number": "239-986-9398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAIVODA-ODLE",
"first_name": "DANIELLE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1-24-72056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.