Connecticut Behavior Consultants LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1-10-7692 Issued in CT

Legal business name

CONNECTICUT BEHAVIOR CONSULTANTS LLC

Practice address

42 Valleyview Dr
Middlefield, CT 06455-1004

Phone

(475) 449-2446

NPI assigned

Jun 30, 2016

Organization subpart

No

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

Authorized official

Name

Jenna L Waz, MA, BCBA

Title

Owner

Phone

(475) 559-2446

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1346691300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 VALLEYVIEW DR",
            "city": "MIDDLEFIELD",
            "state": "CT",
            "postal_code": "064551004",
            "telephone_number": "475-559-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 VALLEYVIEW DR",
            "city": "MIDDLEFIELD",
            "state": "CT",
            "postal_code": "064551004",
            "telephone_number": "475-449-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT BEHAVIOR CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "WAZ",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "475-559-2446",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "1-10-7692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Middlefield, CT
• Providers in Middlefield, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.