Active NPI
Amelis Evangelista
- Behavior Technician
- East Hartford, CT
National Provider Identifier
1487494365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 77 Hartland St Ste 108
East Hartford, CT 06108-3259 - Phone
- (888) 754-0398
- NPI assigned
- May 29, 2024
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
77 Hartland St Ste 108
East Hartford, CT 06108-3259
Mailing address
218 Country Club Rd
Waterbury, CT 06708-3317
Phone (203) 560-6680
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1487494365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 COUNTRY CLUB RD",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083317",
"telephone_number": "203-560-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 HARTLAND ST STE 108",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083259",
"telephone_number": "888-754-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANGELISTA",
"first_name": "AMELIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-29",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Hartford, CT
- Danat English, FNP
- Envision Therapies, LLC
- Equilibrium Natural Clinic LLC
- Equilibrium Natural Clinic, LLC
- Esfreds Compassionate Home Care Solutions Inc
- Matthew Evans, APRN, PMHNP
- Evergreen Counseling LLC
- Express Diagnostics, LLC
- Express Yourself CT, LLC (The Back Rub Massage Center)
- Elisa Fabiszak, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.