Active NPI
Heather Marie Connolly
- Behavior Analyst
- Windsor, CT
National Provider Identifier
1942700752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11725693
- Practice address
- 835 Bloomfield Ave
Windsor, CT 06095-2363 - Phone
- (860) 413-9538
- NPI assigned
- Feb 19, 2018
- Last updated
- Feb 19, 2018
- Sex
- Female
- 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 | 11725693 | CT | Primary |
Addresses
Primary practice location
835 Bloomfield Ave
Windsor, CT 06095-2363
Mailing address
78 Grouse Hill Rd
Glastonbury, CT 06033-2719
Phone (860) 918-8872
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 |
|---|---|---|---|
| 11725693 | CT | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518998400000",
"number": "1942700752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 GROUSE HILL RD",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332719",
"telephone_number": "860-918-8872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 BLOOMFIELD AVE",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952363",
"telephone_number": "860-413-9538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "HEATHER",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-19",
"last_updated": "2018-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "11725693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.