Active NPI
Nicole Giwa, LBA
- Behavior Analyst
- East Hampton, CT
National Provider Identifier
1457960601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 123
- Practice address
- 95 Main St Ste 2
East Hampton, CT 06424-1146 - Phone
- (860) 604-6729
- NPI assigned
- Jul 23, 2020
- Last updated
- Jul 23, 2020
- 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 | 123 | CT | Primary |
Addresses
Primary practice location
95 Main St Ste 2
East Hampton, CT 06424-1146
Mailing address
158 Latham Dr
Griswold, CT 06351-3420
Phone (203) 671-0240
Other names 1
- Nicole Marie Imperato
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.apexeducationalsolutions.com/ |
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 |
|---|---|---|---|
| 123 | CT | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Educational Solutions, LLC | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- East Hampton, CT
- NPI 1619410685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1457960601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 LATHAM DR",
"city": "GRISWOLD",
"state": "CT",
"postal_code": "063513420",
"telephone_number": "203-671-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 MAIN ST STE 2",
"city": "EAST HAMPTON",
"state": "CT",
"postal_code": "064241146",
"telephone_number": "860-604-6729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIWA",
"first_name": "NICOLE",
"credential": "LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "123",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.apexeducationalsolutions.com/",
"affiliation": "N",
"address_1": "95 Main St Ste 2",
"city": "East Hampton",
"state": "CT",
"country_code": "US",
"postal_code": "064241146",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "IMPERATO",
"middle_name": "MARIE",
"credential": "LBA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in East Hampton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.