Active NPI
Family Strong CT
- Behavior Analyst
- Southbury, CT
National Provider Identifier
1487034641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-10033
- Legal business name
- FAMILY STRONG CT
- Practice address
- 49 Peter Rd
Southbury, CT 06488-2681 - Phone
- (203) 267-4455
- NPI assigned
- Jun 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Brown-Surmolian
- Title
- President
- Phone
- (203) 267-4455
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-10033 | CT | Primary |
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
49 Peter Rd
Southbury, CT 06488-2681
Mailing address
49 Peter Rd
Southbury, CT 06488-2681
Phone (203) 267-4455
National Provider Directory
National Provider DirectoryLocations
49 Peter Rd
Southbury, CT 06488
Phone (203) 267-4455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434931200000",
"number": "1487034641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 PETER RD",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064882681",
"telephone_number": "203-267-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 PETER RD",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064882681",
"telephone_number": "203-267-4455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY STRONG CT",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-03",
"last_updated": "2015-06-22",
"status": "A",
"authorized_official_last_name": "BROWN-SURMOLIAN",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-267-4455"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1-12-10033",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.