KYLE MARIE CERVONE (NPI# 1174868699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174868699 |
| Entity Type | Individual |
| Full Name | KYLE MARIE CERVONE |
| Credential | BCBA |
| Practice Address |
15 Middleton Dr New Fairfield CT 06812 |
| Mailing Address |
Po Box 539 Patterson NY 12563-0539 |
| Practice Telephone | 2037512525 |
| Mailing Telephone | 2037512525 |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-12-11869 | NY | Behavioral Health & Social Service Providers |
| Street Address |
15 MIDDLETON DR |
| City | NEW FAIRFIELD |
| State | CT |
| Zip Code | 06812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770005142 | Justin Cole Corbelle | Chiropractor | 15 Jewel Lane, New Fairfield, CT 06812 | 2017-07-07 |
| 1487030748 | Cynthia Heng | Nurse Practitioner | 96 Ct-37, New Fairfield, CT 06812 | 2015-08-09 |
| 1588051510 | Physical Therapy Arts LLC | Physical Therapist | 96 Rt. 37, New Fairfield, CT 06812 | 2015-04-16 |
| 1124378286 | Christy Mathew | Pharmacist | 11 Connecticut 37, New Fairfield, CT 06812 | 2012-09-17 |
| 1912289158 | New Fairfield Health and Injury Center PC | Physical Medicine & Rehabilitation | 100 Route 37, Fairwood Professional Building, New Fairfield, CT 06812 | 2011-09-14 |
| 1528381480 | The Stop & Shop Supermarket Company LLC | Durable Medical Equipment & Medical Supplies | 25 Rte 39, New Fairfield, CT 06812 | 2010-03-08 |
| 1750514907 | Jodi Lynn Whiting | Counselor | 30 Merlin Ave, New Fairfield, CT 06812 | 2009-09-03 |
| 1619106820 | Sandra Marion Chester | Occupational Therapist | 10 Fox Run, New Fairfield, CT 06812 | 2009-07-09 |
| 1639322399 | Caseyanne Higgins-poopor | Speech-Language Pathologist | 2 Ithaca Rd, New Fairfield, CT 06812 | 2008-10-28 |
| 1841488780 | Carolyn Finch Hulme | Speech-Language Pathologist | 90 Ball Pond Road, New Fairfield, CT 06812 | 2007-10-04 |
| Find all providers in zip 06812 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232043 | Mackenzie Brown | Behavioral Analyst | 27 Candlewood Dr, New Fairfield, CT 06812-5111 | 2020-07-16 |
| 1144601964 | Cyndi Lauren Giordano-donati | Behavioral Analyst | 143 State Route 39, New Fairfield, CT 06812-4202 | 2015-06-17 |
| 1659987535 | Heather M Gray-merrill | Behavioral Analyst | 1 Andover Rd, New Fairfield, CT 06812-3012 | 2020-09-16 |
| 1750995221 | Shannon Walsh | Behavioral Analyst | 1 Andover Rd, New Fairfield, CT 06812-3012 | 2020-09-02 |
| 1669006664 | Alexandria Tomasini | Behavioral Analyst | 1 Andover Rd, New Fairfield, CT 06812-3012 | 2020-02-27 |
| 1003449414 | Cusack Applied Behavior Analysis | Behavioral Analyst | 1 Andover Rd, New Fairfield, CT 06812-3012 | 2020-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302160 | Heartlinks Aba LLC | Behavioral Analyst | 65 Cables Ave Apt 2, Waterbury, CT 06710-1644 | 2020-10-01 |
| 1609483411 | Michelle Ribas Alves | Behavioral Analyst | 620 Peet St, Bridgeport, CT 06606-2731 | 2020-09-25 |
| 1669088829 | Naiesha A Jean-claude | Behavioral Analyst | 67 Yale St, Stratford, CT 06615-6363 | 2020-09-22 |
| 1356957617 | Kristen E Walsh | Behavioral Analyst | 80 New St, Ridgefield, CT 06877-3822 | 2020-09-21 |
| 1023624855 | Annika Simmons | Behavioral Analyst | 878 Silver Street, Coventry, Ct, Usa, Coventry, CT 06238 | 2020-09-17 |
| 1487260337 | Chileshe Chisanga | Behavioral Analyst | 32c Wall St, Madison, CT 06443-3100 | 2020-09-16 |
| 1912512252 | Sarah Howard | Behavioral Analyst | 56 Horace St, Stratford, CT 06614-4225 | 2020-09-14 |
| 1093320582 | Kristin Rhea Fortier | Behavioral Analyst | 9 Pollack Rd, Mansfield Center, CT 06250-1625 | 2020-09-10 |
| 1063027753 | Amanda Imbriglio | Behavioral Analyst | 37 Mechanic St Fl 2, Pawcatuck, CT 06379-2133 | 2020-09-10 |
| 1356956221 | Lindsay A Yanke | Behavioral Analyst | 34 Lilley Rd, West Hartford, CT 06119-1333 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | NEW FAIRFIELD |
| Zip Code | 06812 |
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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.