Eliyahu Baruch

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1084 Issued in CT

Practice address

144 Main St Ste G
East Hartford, CT 06118-3239

Phone

(888) 754-0398

NPI assigned

Dec 17, 2020

Last updated

Dec 17, 2020By the provider in NPPES

Sex

Male

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1902492523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SUNSET CIR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068247643",
            "telephone_number": "518-522-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MAIN ST STE G",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061183239",
            "telephone_number": "888-754-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARUCH",
        "first_name": "ELIYAHU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INBLOOM AUTISM SERVICES",
            "identifier": "47-5420155",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gmail.com",
            "affiliation": "N",
            "address_1": "144 Main St Ste G",
            "city": "East Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061183239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vishal Barochia, PHARMD
• Jazmine Marie Barreto
• Humberto Jackie Barrios
• Diogo Briar Barros McCarty
• Ashley Barseleau
• Ayojonile Battles
• Meghan Bauer, RPH
• Andrew R.G. Baxter, M.D.
• Stephanie Marie Bayreuther
• Andhrose M Bazil

• Behavior Analyst in East Hartford, CT
• Providers in East Hartford, 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 17, 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.