MICHAEL ROCCO MAGNOTTA (NPI# 1114551124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114551124 |
| Entity Type | Individual |
| Full Name | MICHAEL ROCCO MAGNOTTA |
| Credential | BCABA |
| Practice Address |
26 Broad St Milford CT 06460-3350 |
| Practice Telephone | 2032837027 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-20-10771 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BACB ID | 0-20-10771 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114363975 | Michael John Anthony Magnotta | Dentist | 1307 Dove St, Monroe, NC 28112-5068 | 2013-05-20 |
| Street Address |
26 BROAD ST |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-3350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831697788 | Kelly Vornkahl | Behavioral Analyst | 26 Broad St, Milford, CT 06460-3350 | 2018-01-25 |
| 1689119885 | Kelly Welcome | Behavioral Analyst | 26 Broad St, 1, Milford, CT 06460-3350 | 2016-12-23 |
| 1184040495 | Britta Wehmann-bell | Behavioral Analyst | 26 Broad St, Suite 1, Milford, CT 06460-3350 | 2014-03-11 |
| 1487096756 | Core Chiropractic & Rehabilitation | Chiropractor | 26 Broad St, #6, Milford, CT 06460-3350 | 2013-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634110 | Samantha Marie Marmaud | Assistant Behavior Analyst | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-06-24 |
| 1265070312 | Theresa Donahue | Assistant Behavior Analyst | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-12-18 |
| 1902449754 | Kelsey Schecker | Assistant Behavior Analyst | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-10-24 |
| 1174176531 | Theresa Marie Loell | Assistant Behavior Analyst | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-07-24 |
| 1922669951 | Kaleighia Audrey Gloria Green | Assistant Behavior Analyst | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-06-20 |
| 1518521004 | Abigail Perry | Assistant Behavior Analyst | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-04-30 |
| 1154985844 | Vanessa Marie Ferreira | Assistant Behavior Analyst | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-04-28 |
| 1619531480 | Natale James Ferraro I | Assistant Behavior Analyst | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-04-27 |
| 1043873037 | Emily Ann Cotter | Assistant Behavior Analyst | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-04-16 |
| 1497218275 | Tara Jane Rochefort | Assistant Behavior Analyst | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-04-09 |
| Find all providers in MILFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.