NPIMap

Organization Active NPI

Ben's Behavioral Health

  • Behavior Analyst
  • Middlefield, CT
National Provider Identifier
1851912745
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEN'S BEHAVIORAL HEALTH
Practice address
42 Valleyview Dr
Middlefield, CT 06455-1004
Phone
(860) 250-5849
Fax
(203) 774-1162
NPI assigned
May 1, 2020
Last updated
May 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Authorized official

Name
Jenna L Waz, MA, BCBA, LBANPI 1316346612
Title
Ceo
Phone
(860) 250-5849

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 Analyst 103K00000X NU Primary

Addresses

Primary practice location

42 Valleyview Dr
Middlefield, CT 06455-1004

Mailing address

42 Valleyview Dr
Middlefield, CT 06455-1004
Phone (860) 250-5849

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CAQH Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1851912745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 VALLEYVIEW DR",
            "city": "MIDDLEFIELD",
            "state": "CT",
            "postal_code": "064551004",
            "telephone_number": "860-250-5849",
            "fax_number": "203-774-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 VALLEYVIEW DR",
            "city": "MIDDLEFIELD",
            "state": "CT",
            "postal_code": "064551004",
            "telephone_number": "860-250-5849",
            "fax_number": "203-774-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN'S BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "WAZ",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-250-5849",
        "authorized_official_credential": "MA, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CAQH",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "42 Valleyview Dr",
            "city": "Middlefield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064551004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middlefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.