Active NPI
Teresa Fleming, BCBA LBA
- Behavior Analyst
- Manchester, CT
National Provider Identifier
1912433749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1225
- Practice address
- 91 Scott Dr
Manchester, CT 06042-2355 - Phone
- (860) 716-8927
- NPI assigned
- May 11, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 048847223 | CT | |
| Behavior Analyst | 103K00000X | 1225 | CT | Primary |
Addresses
Primary practice location
91 Scott Dr
Manchester, CT 06042-2355
Mailing address
91 Scott Dr
Manchester, CT 06042-2355
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 |
|---|---|---|---|
| 1225 | CT | MD | Behavioral Analyst |
| 048847223 | CT | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SB Transitional Sub, LLC | Past | Accepting new patients |
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.
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- NPI 1811574064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1912433749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 SCOTT DR",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060422355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 SCOTT DR",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060422355",
"telephone_number": "860-716-8927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "TERESA",
"credential": "BCBA LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": "048847223",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.