Melissa Fiaccone, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-15966 Issued in CT

Practice address

1100 New Britain Ave Ste 105
West Hartford, CT 06110-2448

Phone

(860) 310-7113

Fax

(860) 310-7113

NPI assigned

Nov 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Synct Collaborative Therapy

  • Behavior Analyst
  • Newington, CT
  • NPI 1205375219
  NPD (past)

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1922512573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NEW BRITAIN AVE STE 105",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102448",
            "telephone_number": "860-310-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NEW BRITAIN AVE STE 105",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102448",
            "telephone_number": "860-310-7113",
            "fax_number": "860-310-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIACCONE",
        "first_name": "MELISSA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-14-15966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dian Clair Ferguson, M.E.D
• Anthony Ferrante I, M.D.
• Angela Ferrigno, MS, LMFT
• Keith J Ferro, DMD
• Kimberly Ann Ferro, RPH
• Galani Nellie Filippopoulos, PSY.D.
• Madelyn Filomeno, PT
• Steven Aaron Fischman
• Pamela Sibley Fisher, P.T.
• Richard Fisher, L.C.S.W.

• Behavior Analyst in West Hartford, CT
• Providers in West 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 Nov 17, 2017; 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.