Michelle Crossway
Individual provider Active NPI Behavior Analyst · Colchester, CT
NPI 1902178494 · NPPES record last updated Jan 31, 2012
Key facts
- NPI
- 1902178494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 172 Westerly Ter
Colchester, CT 06415-1470 - Phone
- (860) 531-9432
- NPI assigned
- Jan 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
172 Westerly Ter
Colchester, CT 06415-1470
Mailing address
172 Westerly Ter
Colchester, CT 06415-1470
Other providers in Colchester, CT
- Community Medical Partners, Inc.
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- Srinivasulu Conjeevaram
- Conncare Inc
- Connecticut CVS Pharmacy, L.L.C.
- Ricardo Alberto Cuevas
- Andrea Jean Cyr
- Danielle Escobar Therapy
- Sarah Anne Davis
- Frances M. Deegan
All providers in Colchester, CT · Behavior Analyst in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.