Alyssa A Gendreau

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

144 Main St
East Hartford, CT 06118-3239

Phone

(860) 359-3737

NPI assigned

May 19, 2022

Last updated

May 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1538806641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 W MAIN ST",
            "city": "STAFFORD SPRINGS",
            "state": "CT",
            "postal_code": "060761423",
            "telephone_number": "860-416-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061183239",
            "telephone_number": "860-359-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDREAU",
        "first_name": "ALYSSA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "a.gendreau@inbloomautism.com",
            "affiliation": "N",
            "endpointDescription": "Employer Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "144 Main St",
            "city": "East Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061183239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linoshka Garcia
• Yania Garrido
• Steven Gattuso, RPH
• Sharelle Janae Gay, LMSW
• Tre'Vone T Gay
• Genoa Healthcare LLC
• Genoa, a Qol Healthcare Company
• Rebecca Raymond Gerhart
• Jordan Giambattista
• Bonnie Giardini, RDH, BS

• Behavior Technician in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Behavior Technician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.