Birch Behavioral Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BIRCH BEHAVIORAL THERAPY LLC

Practice address

100 William Loeb Dr Unit 7
Manchester, NH 03109-5324

Phone

(866) 352-5010

NPI assigned

Sep 20, 2019

Last updated

Nov 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yakov Halberstam

Title

Director

Phone

(866) 352-5010

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alicia-Ann Couture

  • Behavior Technician
  • Manchester, NH
  • NPI 1972386282
  NPD
• Jenna Sipos

  • Behavior Technician
  • Manchester, NH
  • NPI 1962285288
  NPD
• Grace Tabat

  • Behavior Analyst
  • Manchester, NH
  • NPI 1124801436
  NPD
• Kelsey Waddicor

  • Behavior Analyst
  • Nashua, NH
  • NPI 1578036620
  NPD
• Aynsley Guertin, MSED, BCBA

  • Behavior Analyst
  • Wallingford, CT
  • NPI 1548872898
  NPD

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1710538848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 SHERIDAN ST STE 501",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213435",
            "telephone_number": "866-352-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILLIAM LOEB DR UNIT 7",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031095324",
            "telephone_number": "866-352-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH BEHAVIORAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "HALBERSTAM",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-352-5010"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya M Binder, FNP-BC, APRN
• Jacoria S Bines
• Amy Binette, CDA, RDH
• Bio-Medical Applications of Manchester, Inc. (Manchester Kidney Center)
• Meghan Biondolillo
• Derek John Birch, BCBA
• Heather Marie Bird, PHARMD
• Deborah Diane Biron, M.D.
• Sherif K Bishara
• Ann-Marie Bishop, LICSW

• Behavior Analyst in Manchester, NH
• Providers in Manchester, NH by specialty
• Behavior Analyst in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.