Iris S Engel, ACAS
Individual provider Active NPI Behavior Analyst · West Granby, CT
NPI 1306200118 · NPPES record last updated Apr 7, 2016
Key facts
- NPI
- 1306200118
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 199 Simsbury Rd
West Granby, CT 06090-1606 - Phone
- (860) 508-6759
- Fax
- (860) 831-1113
- NPI assigned
- Apr 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
199 Simsbury Rd
West Granby, CT 06090-1606
Mailing address
199 Simsbury Rd
West Granby, CT 06090-1606
Phone (860) 508-6759
Other providers in West Granby, CT
All providers in West Granby, CT · Behavior Analyst in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.