Active NPI
Shoreline Social Learning
- Behavior Analyst
- West Haven, CT
National Provider Identifier
1972973071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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 DirectoryLocations
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
- Barbara Shola
- Stephanie Shongut
- Christine Shore, MS
- Shoreline Center for Social Learning, LLC
- Shoreline Family Chiropractic & Wellness
- Shoreline Wellness Behavioral Health Clinic, LLC
- Shoreline Wellness Behavioral Health Outreach Inc
- Shoreline Wellness Center, LLC.
- Marc J Shulman, PSY.D.
- Marianne E Silva, LCSW
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.