Individual provider Active NPI

Karly Llyn-Emy Roesling I, MA BEHAVIOR ANALYSIS

  • Developmental Therapist
  • Cromwell, CT
National Provider Identifier
1881178184
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
110 Court St Ste 3
Cromwell, CT 06416-1273
Phone
(860) 613-9930
Fax
(860) 613-9952
NPI assigned
Sep 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

110 Court St Ste 3
Cromwell, CT 06416-1273

Mailing address

254 Seaside Ave Apt a
Stamford, CT 06902-5452
Phone (925) 899-4787

Other practice location 1

2730 Shadelands Dr Bldg 10
Walnut Creek, CA 94598
Phone (925) 876-7841

Other practice location 2

2730 Shadelands Dr
Walnut Creek, CA 94598-2538
Phone (925) 876-7841

Other practice location 3

2730 Shadelands Dr
Walnut Creek, CA 94598-2538
Phone (925) 876-7841

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Education Assessment Consultation Services CurrentSince Jun 29, 2025 Accepting new patients

Locations

110 Court St
Ste 3
Cromwell, CT 06416
Phone (860) 281-6271

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1881178184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 SEASIDE AVE APT A",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069025452",
            "telephone_number": "925-899-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COURT ST STE 3",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161273",
            "telephone_number": "860-613-9930",
            "fax_number": "860-613-9952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2730 Shadelands Dr Bldg 10",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "94598",
            "country_code": "US",
            "telephone_number": "925-876-7841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2730 Shadelands Dr",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982538",
            "country_code": "US",
            "telephone_number": "925-876-7841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2730 Shadelands Dr",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982538",
            "country_code": "US",
            "telephone_number": "925-876-7841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROESLING",
        "first_name": "KARLY",
        "middle_name": "LLYN-EMY",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "MA BEHAVIOR ANALYSIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.