Glenda D Boyden

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2800 Main St
Glastonbury, CT 06033-1091

Phone

(860) 430-1340

NPI assigned

Mar 30, 2021

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 names 1

• Glendalis D Boyden Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trading Spaces ABA, LLC

  • Community/Behavioral Health Agency
  • Glastonbury, CT
  • NPI 1205219060
  NPD (past)

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1700464112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DEER RUN DR",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151806",
            "telephone_number": "860-383-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331091",
            "telephone_number": "860-430-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYDEN",
        "first_name": "GLENDA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENDALIS",
            "last_name": "BOYDEN",
            "middle_name": "D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Merlyn Bonilla, LMT
• Kerri Booth
• Laura Borodic, DMD
• Victoria Bourque, A.P.R.N.
• Patricia Bouwer, RN,MS,FNP
• Brady Counseling LLC
• Elizabeth May Brady, M.A., LPC
• William M Brahm, DDS
• Stephanie Brainard, RD
• Stephanie Lynn Brault, MS

• All providers in Glastonbury, CT
• Behavior Technician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.