Active NPI
January Lynch, BCBA
- Behavior Analyst
- Watertown, CT
National Provider Identifier
1346935087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1623
- Practice address
- 76 Westbury Park Rd # 306E
Watertown, CT 06795-2779 - Phone
- (860) 294-1543
- NPI assigned
- Apr 10, 2023
- 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 | 1623 | CT | Primary |
Addresses
Primary practice location
76 Westbury Park Rd # 306E
Watertown, CT 06795-2779
Mailing address
76 Westbury Park Rd # 306E
Watertown, CT 06795-2779
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 |
|---|---|---|---|
| 1623 | CT | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1346935087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 WESTBURY PARK RD # 306E",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 WESTBURY PARK RD # 306E",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952779",
"telephone_number": "860-294-1543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "JANUARY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2023-04-10",
"certification_date": "2023-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.