Practical Skills Clinic LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PRACTICAL SKILLS CLINIC LLC

Practice address

50 Miry Brook Rd
Danbury, CT 06810-7411

Phone

(203) 559-7023

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Keri Ann Spielmann, BCBANPI 1760813885

Title

Owner

Phone

(203) 559-7023

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keri Spielmann, BCBA

  • Behavior Analyst
  • Ridgefield, CT
  • NPI 1760813885
  NPD Authorized official

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1538835178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MIRY BROOK RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107411",
            "telephone_number": "203-559-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MIRY BROOK RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107411",
            "telephone_number": "203-559-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL SKILLS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "SPIELMANN",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-559-7023",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Danbury, CT
• Providers in Danbury, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.