NPIMap

Organization Active NPI

Prism Autism Education & Consultation

  • Behavior Analyst
  • Farmington, CT
National Provider Identifier
1609279348
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-12663 Issued in CT
Legal business name
PRISM AUTISM EDUCATION & CONSULTATION
Practice address
160 Farmington Ave
Farmington, CT 06032-1728
Phone
(860) 495-0126
NPI assigned
Oct 8, 2014
Last updated
Dec 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Rebecca Giammatti, BCBANPI 1871990788
Title
Bcba
Phone
(860) 495-0126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-12-12663 CT Primary

Addresses

Primary practice location

160 Farmington Ave
Farmington, CT 06032-1728

Mailing address

160 Farmington Ave
Farmington, CT 06032-1728
Phone (860) 495-0126

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1609279348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321728",
            "telephone_number": "860-495-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321728",
            "telephone_number": "860-495-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM AUTISM EDUCATION & CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "GIAMMATTI",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "860-495-0126",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-12-12663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.