Active NPI
Jessica S Lee
- Behavior Analyst
- Shelton, CT
National Provider Identifier
1790208403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2327
- Practice address
- 65 Philip Dr
Shelton, CT 06484-5132 - Phone
- (646) 796-4675
- NPI assigned
- Jul 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2327 | CT | Primary |
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
65 Philip Dr
Shelton, CT 06484-5132
Mailing address
65 Philip Dr
Shelton, CT 06484-5132
Phone (646) 796-4675
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 |
|---|---|---|---|
| 2327 | CT | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1790208403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 PHILIP DR",
"city": "SHELTON",
"state": "CT",
"postal_code": "064845132",
"telephone_number": "646-796-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 PHILIP DR",
"city": "SHELTON",
"state": "CT",
"postal_code": "064845132",
"telephone_number": "646-796-4675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JESSICA",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "CT",
"license": "2327",
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.