Individual provider Active NPI

Lyndsay Pratt

  • Behavior Technician
  • Gales Ferry, CT
National Provider Identifier
1780352138
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-121977 Issued in CT
Practice address
758R Colonel Ledyard Hwy
Gales Ferry, CT 06339-1570
Phone
(860) 995-9082
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-121977 CT Primary

Addresses

Primary practice location

758R Colonel Ledyard Hwy
Gales Ferry, CT 06339-1570

Mailing address

39 Ash Dr Apt 7
Gales Ferry, CT 06335-1706
Phone (860) 405-5689

Other identifiers 1

IdentifierTypeStateIssuer
1558808105MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL krista@firstleapstogether.com Direct

Organizations & group practices 1

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.

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

LicenseStateTypeSpecialty
RBT-20-121977CTMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
First Leaps Together, LLC PastSince Sep 5, 2021 Accepting new patients

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1780352138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 ASH DR APT 7",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063351706",
            "telephone_number": "860-405-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758R COLONEL LEDYARD HWY",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063391570",
            "telephone_number": "860-995-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "LYNDSAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CT",
            "license": "RBT-20-121977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558808105",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "krista@firstleapstogether.com",
            "affiliation": "N",
            "endpointDescription": "employers email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "758R Colonel Ledyard Hwy",
            "city": "Gales Ferry",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063391570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gales Ferry, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.