Active NPI
Jennifer Joyce Gallucci Connolly, PHD, BCBA-D, LBA
- Behavior Analyst
- Arlington, VA
National Provider Identifier
1750809141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133000898
- Practice address
- 2640 S Veitch St Apt 203
Arlington, VA 22206-3034 - Phone
- (240) 244-7209
- NPI assigned
- Sep 6, 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 | 0133000898 | VA | Primary |
Addresses
Primary practice location
2640 S Veitch St Apt 203
Arlington, VA 22206-3034
Mailing address
2640 S Veitch St Apt 203
Arlington, VA 22206-3034
Phone (413) 896-9561
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133000898 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504656000000",
"number": "1750809141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 S VEITCH ST APT 203",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222063034",
"telephone_number": "413-896-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 S VEITCH ST APT 203",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222063034",
"telephone_number": "240-244-7209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "JENNIFER",
"middle_name": "JOYCE GALLUCCI",
"name_prefix": "Dr.",
"credential": "PHD, BCBA-D, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2017-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133000898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.