Active NPI
Kerstin Gisela Lebel, RBT
- Behavior Technician
- Hamden, CT
National Provider Identifier
1619616745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 633851
- Practice address
- 666 State St
Unit A3
Hamden, CT 06517 - Phone
- (888) 754-0398
- NPI assigned
- May 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 633851 | CT | Primary |
Addresses
Primary practice location
666 State St
Unit A3
Hamden, CT 06517
Mailing address
273 Derby Ave Unit 202
Derby, CT 06418-2084
Phone (203) 915-8182
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
| License | State | Type | Specialty |
|---|---|---|---|
| 633851 | CT | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1619616745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 DERBY AVE UNIT 202",
"city": "DERBY",
"state": "CT",
"postal_code": "064182084",
"telephone_number": "203-915-8182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "666 STATE ST",
"address_2": "UNIT A3",
"city": "HAMDEN",
"state": "CT",
"postal_code": "06517",
"telephone_number": "888-754-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBEL",
"first_name": "KERSTIN",
"middle_name": "GISELA",
"name_prefix": "Ms.",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-27",
"last_updated": "2022-05-27",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CT",
"license": "633851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.