Carissa Carey, M.S.ED., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1165 Issued in CT

Practice address

373 Ward St
Wallingford, CT 06492-4614

Phone

(203) 506-3111

NPI assigned

Nov 10, 2021

Last updated

Nov 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1659037042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 WARD ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924614",
            "telephone_number": "203-506-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 WARD ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924614",
            "telephone_number": "203-506-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "CARISSA",
        "credential": "M.S.ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "1165",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-21-48139",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Ione Canary, MPT
• Karen Caplan
• Kathryn Bellico Cappiello, APRN
• Paula M. Cappola, M.A., CCC-SLP
• Cardiology Associates of Central Connecticut,LLC
• Grace Carey
• Layne Carey
• Kylie Carino, CCC-SLP
• Tara Nicole Carlesco, PA-C
• Tyler Carmen

• Behavior Analyst in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.