Shivani Sunil Soni

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1347 Issued in CT

Practice address

3 Ashwood LN
Brookfield, CT 06804-3239

Phone

(203) 501-9131

NPI assigned

Nov 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Goldencare Therapy Licensed Behavior Analyst PLLC

  • Community/Behavioral Health Agency
  • Lakewood, NJ
  • NPI 1932553468

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1851993893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CROWS NEST LN UNIT 13H",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068102014",
            "telephone_number": "203-739-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ASHWOOD LN",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043239",
            "telephone_number": "203-501-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONI",
        "first_name": "SHIVANI",
        "middle_name": "SUNIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295397081",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Small Talk Therapy Partners, PLLC
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• Craig T Sollose, D.C
• Lori Elizabeth Sollose, L.C.S.W.
• Sophia Natural Health Center
• Jessica Marie Sousa-Santos, LCSW
• Steven Alan Springer, D.D.S.
• Stafferzz Network
• Heather Stafford, MSTCM, L.AC.

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

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