Steven Dallas Mufalli

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1410 Issued in CT

Practice address

585 Park Rd Unit 2-8
Waterbury, CT 06708-2357

Phone

(203) 819-0264

NPI assigned

Mar 6, 2022

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": "1646524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646524800000",
    "number": "1922755362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 PARK RD UNIT 2-8",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082357",
            "telephone_number": "203-819-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 PARK RD UNIT 2-8",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082357",
            "telephone_number": "203-819-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFALLI",
        "first_name": "STEVEN",
        "middle_name": "DALLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-06",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851912745",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steven@bensbehavioral.com",
            "affiliation": "N",
            "address_1": "585 Park Rd Unit 2-8",
            "city": "Waterbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067082357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Moylan, PT
• Paula Amelia Moynahan, M.D.
• Rebecca Mraz
• Caroline Mroz, PA
• Sabooh Mubbashar, MD
• Sean Edward Mullaney, LCSW
• Christa Mullen, MA., LPC
• Marshall L Mullen, BA
• Annette Bettina Muller-Schwarze, MD
• Shannon M Mulligan, O.D.

• Behavior Analyst in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; 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.