Active NPI
Joanne Tedford
- Behavior Analyst
- Hartford, CT
National Provider Identifier
1881176147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 993
- Practice address
- 101 South St
Hartford, CT 06110-1967 - Phone
- (860) 578-1300
- NPI assigned
- Sep 4, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 993 | CT | Primary |
Addresses
Primary practice location
101 South St
Hartford, CT 06110-1967
Mailing address
119 Pitkin St
Manchester, CT 06040-4460
Phone (860) 803-0209
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 |
|---|---|---|---|
| 993 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1881176147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 PITKIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404460",
"telephone_number": "860-803-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SOUTH ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061101967",
"telephone_number": "860-578-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEDFORD",
"first_name": "JOANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.