Active NPI
Jordan Collins
- Behavior Analyst
- Newington, CT
National Provider Identifier
1922801133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2089
- Practice address
- 66 Cedar St
Newington, CT 06111-2633 - Phone
- (877) 222-0399
- NPI assigned
- Mar 31, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2089 | CT | Primary |
Addresses
Primary practice location
66 Cedar St
Newington, CT 06111-2633
Mailing address
42 Old Farm Rd
Meriden, CT 06450-7807
Phone (203) 859-8879
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1922801133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 OLD FARM RD",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064507807",
"telephone_number": "203-859-8879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 CEDAR ST",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061112633",
"telephone_number": "877-222-0399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "2089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.