Individual provider Active NPI

Brielle Heinl, BCBA, LBA

  • Behavior Analyst
  • West Haven, CT
National Provider Identifier
1922461516
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
124 Putney Dr
West Haven, CT 06516-2931
Phone
(430) 205-8710
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LABA4285 MA
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

124 Putney Dr
West Haven, CT 06516-2931

Mailing address

124 Putney Dr
West Haven, CT 06516-2931

Other practice location 1

105 Hms Stayner Dr
Hingham, MA 02043-1664
Phone (617) 957-6451

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

LicenseStateTypeSpecialty
LABA4285MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Learning to Fly ABA, LLC Behavior Analyst CurrentSince Jan 22, 2023 Accepting new patients
Brightbridge ABA North Carolina LLC Behavior Analyst Past Accepting new patients
Greater Boston ABA Associates Behavior Analyst PastSince Sep 6, 2020 Accepting new patients
Junior Boom ABA LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 4

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1922461516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PUTNEY DR",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PUTNEY DR",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162931",
            "telephone_number": "430-205-8710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Hms Stayner Dr",
            "address_purpose": "LOCATION",
            "city": "Hingham",
            "state": "MA",
            "postal_code": "020431664",
            "country_code": "US",
            "telephone_number": "617-957-6451",
            "fax_number": "781-385-7324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINL",
        "first_name": "BRIELLE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "LABA4285",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.