Victor Alexis Nieves
Individual provider Active NPI Behavior Technician · Putnam, CT
NPI 1447875448 · NPPES record last updated Jun 15, 2020
Key facts
- NPI
- 1447875448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 62 Providence Pike Ste E
Putnam, CT 06260-2415 - Phone
- (888) 805-0759
- NPI assigned
- Jun 15, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
62 Providence Pike Ste E
Putnam, CT 06260-2415
Mailing address
62 Providence Pike Ste E
Putnam, CT 06260-2415
Phone (888) 805-0759
Other providers in Putnam, CT
- Neri Holzer, MD PC
- Nes Medical Services of Northern Connecticut, P.C.
- New England Family Medical and Walk-in Center, LLC
- New England Healthcare Staffing
- Sara Cathleen Nickle
- Bonnie Lynn Niles
- Ilya Noginskiy
- Northeast Connecticut Dental Associates, Inc.
- Northeast Eyewear
- Northeastern Asthma & Allergy Associates, LLC
All providers in Putnam, CT · Behavior Technician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.