Organization Active NPI

Intellaplay LLC

  • Behavior Analyst
  • Hamden, CT
National Provider Identifier
1477219293
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INTELLAPLAY LLC
Practice address
153 Leeder Hill Dr
Hamden, CT 06517-2731
Phone
(917) 676-6426
NPI assigned
Nov 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Mr. Alexander Guttman
Title
Ceo
Phone
(917) 676-6426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

153 Leeder Hill Dr
Hamden, CT 06517-2731

Mailing address

545 E County Line Rd Ste 17B
Lakewood, NJ 08701-1487

Other practice location 1

545 E County Line Rd Ste 17B
Lakewood, NJ 08701-1487
Phone (917) 676-6426

Other practice location 2

1029 North Rd # 1019
Westfield, MA 01085-9711
Phone (917) 676-6426

Other names 1

  • Intellaplay ABA Doing business as

National Provider Directory

National Provider Directory

Locations

1029 North Rd
#1019
Westfield, MA 01085
Phone (917) 676-6426

545 E County Line Rd
Ste 17B
Lakewood, NJ 08701
Phone (917) 676-6426

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1477219293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E COUNTY LINE RD STE 17B",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 LEEDER HILL DR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172731",
            "telephone_number": "917-676-6426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 E County Line Rd Ste 17B",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087011487",
            "country_code": "US",
            "telephone_number": "917-676-6426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1029 North Rd # 1019",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "MA",
            "postal_code": "010859711",
            "country_code": "US",
            "telephone_number": "917-676-6426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTELLAPLAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "GUTTMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-676-6426",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intellaplay ABA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Intellaplay ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.