Active NPI
Grace Ann Mahoney, BCBA
- Behavior Analyst
- Trumbull, CT
National Provider Identifier
1326857707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BACB573378
- Practice address
- 126 Monroe Tpke Ste 210
Trumbull, CT 06611-1300 - Phone
- (203) 800-3596
- NPI assigned
- Dec 31, 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 | BACB573378 | CT | Primary |
Addresses
Primary practice location
126 Monroe Tpke Ste 210
Trumbull, CT 06611-1300
Mailing address
271 Twin Lakes Rd
North Branford, CT 06471-1218
Phone (860) 550-0927
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 |
|---|---|---|---|
| BACB573378 | CT | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zaba Therapy, LLC | 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.
-
- Behavior Analyst
- Hamden, CT
- NPI 1871986059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735603200000",
"number": "1326857707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 TWIN LAKES RD",
"city": "NORTH BRANFORD",
"state": "CT",
"postal_code": "064711218",
"telephone_number": "860-550-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 MONROE TPKE STE 210",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066111300",
"telephone_number": "203-800-3596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "GRACE",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-31",
"last_updated": "2024-12-31",
"certification_date": "2024-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "BACB573378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.