Amy Lynn Anderson, BCBA
Individual provider Active NPI Behavior Analyst · East Hartford, CT
NPI 1962964874 · NPPES record last updated Mar 31, 2021
Key facts
- NPI
- 1962964874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 144 Main St Ste G
East Hartford, CT 06118-3239 - Phone
- (401) 632-7666
- NPI assigned
- Apr 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vocational Development Group, LLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
144 Main St Ste G
East Hartford, CT 06118-3239
Mailing address
52 Ruth Dr
Plainfield, CT 06374-1834
Phone (401) 632-7666
Other practice location 1
85 Stoneheights Dr
Waterford, CT 06385-1975
Phone (860) 333-5183
Other providers in East Hartford, CT
- Jeffrey D Altman
- Richard E Amaral
- Amazing Smile Family Dentistery
- Teresa Ambriz
- American Current Care PA PC
- Elizabeth A Anderson
- Jewel Anderson
- Kenneth Dow Anderson
- Angelic Visitation LLC
- Antero, Inc
All providers in East Hartford, CT · Behavior Analyst in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.