Active NPI
Alesha Wells, BA
- Behavior Analyst
- Wauregan, CT
National Provider Identifier
1386091692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 303 Putnam Road
Wauregan, CT 06387-0378 - Phone
- (860) 564-6100
- Fax
- (860) 564-6110
- NPI assigned
- May 17, 2016
- Last updated
- May 17, 2016
- 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 | Primary |
Addresses
Primary practice location
303 Putnam Road
Wauregan, CT 06387-0378
Mailing address
303 Putnam Road
Wauregan, CT 06387-0378
Phone (860) 564-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004040564 | Medicaid | CT |
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
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Services Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dayville, CT
- NPI 1063413011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1386091692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 PUTNAM ROAD",
"city": "WAUREGAN",
"state": "CT",
"postal_code": "063870378",
"telephone_number": "860-564-6100",
"fax_number": "860-564-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 PUTNAM ROAD",
"city": "WAUREGAN",
"state": "CT",
"postal_code": "063870378",
"telephone_number": "860-564-6100",
"fax_number": "860-564-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "ALESHA",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004040564",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wauregan, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.