Sydney Ann Mandeville, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1782 Issued in CT

Practice address

61 Commercial Blvd
Torrington, CT 06790-7224

Phone

(860) 673-0145

NPI assigned

Nov 2, 2023

Last updated

Nov 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Health Consulting Services LLC

  • Professional Counselor
  • Avon, CT
  • NPI 1902199326
  NPD (past)

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1316710130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PINE BROOK TER APT 6",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060108423",
            "telephone_number": "203-804-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 COMMERCIAL BLVD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067907224",
            "telephone_number": "860-673-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEVILLE",
        "first_name": "SYDNEY",
        "middle_name": "ANN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maletta Pfeiffer & Associates, L.L.C.
• Maletta Pfeiffer & Associates, L.L.C.
• Brian Bernard Malone, MD
• Megan Mancinelli, APRN
• Neal Mandell, MD
• Micah J Mann, MA, LADC
• Susan D Marai, APRN
• Kasandra Marbury, MSW,BSW,LMSW, LCSW
• Cheryl Marchetti, APRN
• Hillary Marcinko, M.S., CCC-SLP

• Behavior Analyst in Torrington, CT
• Providers in Torrington, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.