Active NPI
Alyse Marie Enderle
- Behavior Analyst
- Enfield, CT
National Provider Identifier
1629517594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 19 S George Washington Rd
Enfield, CT 06082-4541 - Phone
- (860) 462-7322
- NPI assigned
- Feb 13, 2017
- 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 Analyst | 103K00000X | CT | Primary |
Addresses
Primary practice location
19 S George Washington Rd
Enfield, CT 06082-4541
Mailing address
19 S George Washington Rd
Enfield, CT 06082-4541
Phone (860) 462-7322
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Sparkles LLC | Behavior Analyst | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Enfield, CT
- NPI 1184386120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1629517594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 S GEORGE WASHINGTON RD",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824541",
"telephone_number": "860-462-7322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 S GEORGE WASHINGTON RD",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824541",
"telephone_number": "860-462-7322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDERLE",
"first_name": "ALYSE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-13",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
- Eman Elsayed
- Emily Chiropractic Inc
- Emily Eye Care, LLC
- Molly M Emott, M.D.
- Empathic Hearts Therapy LLC
- Travis Ji Enders
- Enfield Ambulatory Care Center LLC (Enfield Ambulatory Care Center)
- Enfield Club Properties, LLC (Healthtrax Physical Therapy)
- Enfield Compounding Center LLC (Enfield Compounding Center Pharmacy)
- Enfield Compounding Pharmacy LLC (Enfield Compounding Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.