Organization Active NPI

Shoreline Social Learning

  • Behavior Analyst
  • West Haven, CT
National Provider Identifier
1972973071
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SHORELINE SOCIAL LEARNING
Practice address
377 Main St
Lower Level
West Haven, CT 06516-4311
Phone
(203) 693-1386
NPI assigned
Oct 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Harry Voulgarakis, BCBA
Title
Founder/Director
Phone
(203) 451-0549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

377 Main St
Lower Level
West Haven, CT 06516-4311

Mailing address

377 Main St
Lower Level
West Haven, CT 06516-4311

National Provider Directory

National Provider Directory

Locations

377 Main St
Lowr
West Haven, CT 06516
Phone (203) 693-1386

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1972973071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 MAIN ST",
            "address_2": "LOWER LEVEL",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 MAIN ST",
            "address_2": "LOWER LEVEL",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164311",
            "telephone_number": "203-693-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE SOCIAL LEARNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "VOULGARAKIS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "203-451-0549",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.