Active NPI
Allison Conrad
- Behavior Analyst
- Fairfield, CT
National Provider Identifier
1760126908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-33234
- Practice address
- 115 Wilson St
Fairfield, CT 06825-1420 - Phone
- (516) 382-4450
- NPI assigned
- Apr 25, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11833234 | CT | |
| Behavior Analyst | 103K00000X | 1-18-33234 | CT | Primary |
Addresses
Primary practice location
115 Wilson St
Fairfield, CT 06825-1420
Mailing address
115 Wilson St
Fairfield, CT 06825-1420
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11833234 | CT | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1760126908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 WILSON ST",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068251420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 WILSON ST",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068251420",
"telephone_number": "516-382-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "ALLISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-25",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "11833234",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1-18-33234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
- Connecticut Orthopaedic Specialists, PC
- Connecticut Orthopaedic Specialists, PC
- Connecticut Pain & Wellness Center LLC
- Connecticut Phlebology PC
- Connecticut Professional Medical Services PLLC
- Theresa M Conte, PTA
- Contemporary TMS of Fairfield LLC
- Jane Ann Conway, LCSW
- Edwin R Cook, DDS
- Emma S Cooke, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.