Karen Rossi, MS ED., BCBA, LBA
Individual provider Active NPI Behavior Analyst · Goshen, CT
NPI 1629469283 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1629469283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 002923 (NY)
- Practice address
- 12 North Street
#2
Goshen, CT 06756-7000 - Phone
- (917) 929-9904
- NPI assigned
- Feb 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LABA10000049 | MA | MD | Behavioral Analyst |
| 002923 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 002923 | NY | Yes |
| Behavior Analyst | 103K00000X | 1945 | CT | |
| Behavior Analyst | 103K00000X | LABA10000049 | MA |
Addresses
Primary practice location
12 North Street
#2
Goshen, CT 06756-7000
Mailing address
12 North Street
#2
Goshen, CT 06756-7000
Phone (917) 929-9904
Other providers in Goshen, CT
- Janet Lynn Howe
- Erin O'Neil
- Lisa Ann O'Neil
- Kathleen Reeves
- Sheila Reiman
- Hossein L. Tehrani
- Catherine Vlasto
All providers in Goshen, CT · Behavior Analyst in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.