Organization Active NPI

M.O.R.E. ABA & Behavior Associates, LLC

  • Behavior Analyst
  • Windsor, CT
National Provider Identifier
1801396031
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-25214 Issued in CT
Legal business name
M.O.R.E. ABA & BEHAVIOR ASSOCIATES, LLC
Doing business as
M.O.R.E. ABA & Behavior Associates, LLC
Practice address
63 Allen St
Windsor, CT 06095-4403
Phone
(860) 631-7355
NPI assigned
Feb 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Authorized official

Name
Mrs. Jenny A Weir-Roberts, BCBANPI 1215450069
Title
Chief Executive Officer
Phone
(860) 631-7355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-17-25214 CT Primary

Addresses

Primary practice location

63 Allen St
Windsor, CT 06095-4403

Mailing address

63 Allen St
Windsor, CT 06095-4403
Phone (860) 631-7355

Other identifiers 1

IdentifierTypeStateIssuer
009309OtherBEACON HEALTH OPTIONS

Other names 1

  • M.O.R.E. ABA & Behavior Associates, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1801396031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ALLEN ST",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060954403",
            "telephone_number": "860-631-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 ALLEN ST",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060954403",
            "telephone_number": "860-631-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.O.R.E. ABA & BEHAVIOR ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "WEIR-ROBERTS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "860-631-7355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-17-25214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH OPTIONS",
            "identifier": "009309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M.O.R.E. ABA & Behavior Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.