Abc-CT,LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ABC-CT,LLC

Practice address

68 Wildemere Ave
Waterbury, CT 06705-1838

Phone

(617) 750-9398

Fax

(203) 841-1047

NPI assigned

Feb 10, 2021

Last updated

Feb 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tarold Miller, M.ED.NPI 1366035313

Title

Ceo

Phone

(617) 750-9398

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tarold Miller, M.ED.

  • Assistant Behavior Analyst
  • Waterbury, CT
  • NPI 1366035313
  NPD Authorized official

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1831781954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WILDEMERE AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051838",
            "telephone_number": "617-750-9398",
            "fax_number": "203-841-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 WILDEMERE AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051838",
            "telephone_number": "617-750-9398",
            "fax_number": "203-841-1047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Wildemere Ave",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067051838",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABC-CT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TAROLD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-750-9398",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.