Organization Active NPI

C O R E ABA

  • Behavior Analyst
  • Bethel, CT
National Provider Identifier
1912328477
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
C O R E ABA
Practice address
24 Stony Hill Rd FL 1
Bethel, CT 06801-1166
Phone
(860) 946-0362
Fax
(203) 403-6686
NPI assigned
Dec 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Elizabeth Closius Smith, M.S., BCBANPI 1972938017
Title
Behavior Analyst
Phone
(860) 946-0362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

24 Stony Hill Rd FL 1
Bethel, CT 06801-1166

Mailing address

PO Box 1004
Bethel, CT 06801-6004
Phone (860) 946-0362

National Provider Directory

National Provider Directory

Locations

24 Stony Hill Rd
Fl 1
Bethel, CT 06801
Phone (860) 946-0362

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1912328477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068016004",
            "telephone_number": "860-946-0362",
            "fax_number": "203-403-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 STONY HILL RD FL 1",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011166",
            "telephone_number": "860-946-0362",
            "fax_number": "203-403-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C O R E ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "CLOSIUS",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "860-946-0362",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.