Individual provider Active NPI

Kathryn Snow, LBA

  • Behavior Analyst
  • Avon, CT
National Provider Identifier
1558038281
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
46 Issued in CT
Practice address
46 W Avon Rd Ste 202
Avon, CT 06001-3679
Phone
(860) 673-0145
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 46 CT Primary

Addresses

Primary practice location

46 W Avon Rd Ste 202
Avon, CT 06001-3679

Mailing address

55 Junior Rd
Farmington, CT 06032-3430
Phone (860) 463-6856

Other practice location 1

673 S Main St
Cheshire, CT 06410-3149
Phone (203) 271-1430

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

State licenses

LicenseStateTypeSpecialty
46CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Behavioral Health, LLC Behavior Analyst CurrentSince Sep 1, 2021 Accepting new patients

Locations

673 S Main St
Cheshire, CT 06410
Phone (203) 271-1430

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1558038281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 JUNIOR RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060323430",
            "telephone_number": "860-463-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 W AVON RD STE 202",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013679",
            "telephone_number": "860-673-0145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "673 S Main St",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064103149",
            "country_code": "US",
            "telephone_number": "203-271-1430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNOW",
        "first_name": "KATHRYN",
        "credential": "LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.