NICHOLE M BEATTY


Address: 360 Bloomfield Ave, Suite 301, Bloomfield, CT 06905
Phone: 8605540899

NICHOLE M BEATTY (NPI# 1437618618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437618618
Entity Type Individual
Full Name NICHOLE M BEATTY
Practice Address 360 Bloomfield Ave
Suite 301
Bloomfield
CT 06905
Mailing Address 25 Adams Ave Unit 216
Stamford
CT 06902-3786
Practice Telephone 8605540899
Mailing Telephone 2037885482
Enumeration Date 2019-03-18
Last Update Date 2019-03-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 13390377 CT Behavioral Health & Social Service Providers

Office Location

Street Address 360 BLOOMFIELD AVE
SUITE 301
City BLOOMFIELD
State CT
Zip Code 06905

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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

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City BLOOMFIELD
Zip Code 06905

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Dataset Information

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.

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