HEATHER BULLOCK (NPI# 1568825917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568825917 |
| Entity Type | Individual |
| Full Name | HEATHER BULLOCK |
| Credential | BCBA |
| Practice Address |
5 River Rd Suite 142 Wilton CT 06897-4069 |
| Practice Telephone | 6462061296 |
| Practice Fax Number | 8887615161 |
| Mailing Telephone | 6462061296 |
| Mailing Fax Number | 8887615161 |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2016-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 11416507 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518433176 | Heather Bullock | Massage Therapist | 274 Southland Dr Ste 101, Lexington, KY 40503-1946 | 2018-10-22 |
| Street Address |
5 RIVER RD SUITE 142 |
| City | WILTON |
| State | CT |
| Zip Code | 06897-4069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285666156 | Stop and Shop Supermarket Co LLC | Pharmacy | 5 River Rd, Wilton, CT 06897-4069 | 2006-07-07 |
| 1104470574 | Julia Carmen Rivera | Pharmacist | 5 River Rd, Wilton, CT 06897-4069 | 2019-07-24 |
| 1902352446 | Danielle Cassano | Behavioral Analyst | 5 River Rd, Suite 142, Wilton, CT 06897-4069 | 2016-08-25 |
| 1407214273 | Micahel Soderlund | Behavioral Analyst | 5 River Rd, Suite 142, Wilton, CT 06897-4069 | 2016-02-08 |
| 1962869297 | Patricia George | Behavioral Analyst | 5 River Rd, Sutie 142, Wilton, CT 06897-4069 | 2016-01-18 |
| 1609240134 | Alys Hayden | Psychologist | 5 River Rd, Sutie 142, Wilton, CT 06897-4069 | 2015-11-20 |
| 1912374422 | Elizabeth Zeppernick | Behavioral Analyst | 5 River Rd, Suite 142, Wilton, CT 06897-4069 | 2015-09-01 |
| 1356698989 | Ellen Youman-karl | Behavioral Analyst | 5 River Rd, Able Home Health Care LLC, Wilton, CT 06897-4069 | 2012-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083191878 | Cefaly Us, Inc | Durable Medical Equipment & Medical Supplies | 187 Danbury Rd, 3rd Fl Riverside, Wilton, CT 06897 | 2018-07-24 |
| 1154747798 | Llonel Laxamana De Dios | Physical Therapist | 44 Old Ridgefield, Road Suite 213 Fox Rehab Connecticut Regional Office, Wilton, CT 06897 | 2014-03-06 |
| 1679911937 | Colleen Nee | Social Worker | 29 School St (route 107/redding Rd), Wilton, CT 06897 | 2013-06-10 |
| 1104123397 | Xin Wen Shi | Physical Therapist | 64 Danbury Road, Wilton, CT 06897 | 2011-02-24 |
| 1942434428 | Wilton Retirement Housing, LLC | Assisted Living Facility | 435 Danbury Rd., Wilton, CT 06897 | 2009-05-12 |
| 1891965257 | Ronald E. Ponchak, Pt, PC | Clinic/Center | 1 Danbury Road, Wilton, CT 06897 | 2008-03-01 |
| 1649478199 | Mary Steinowitz | Physical Therapist | 345 Belden Hill Road, Wilton, CT 06897 | 2007-07-06 |
| 1871708503 | Robin H Canter | Social Worker | 237 Danbury Road, Stillpoint Counseling, LLC, Wilton, CT 06897 | 2007-05-14 |
| 1073727541 | Elizabeth Rene Sirois | Occupational Therapy Assistant | 63 Danbury Road, Wilton, CT 06897 | 2007-05-10 |
| 1013132877 | Moore Center for Rehabilitation of Wilton, LLC | Physical Therapist | 37 Danbury Road, Wilton, CT 06897 | 2007-04-16 |
| Find all providers in zip 06897 | ||||
| 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 |
|---|---|---|---|---|
| 1710377593 | Emily Bare | Behavioral Analyst | 254 Olmstead Hill Rd, Wilton, CT 06897-1820 | 2015-01-30 |
| 1013518620 | Megan Westmoreland | Behavioral Analyst | 59 Danbury Rd, Wilton, CT 06897-4405 | 2020-11-02 |
| 1982231718 | Sindy Victor | Behavioral Analyst | 59 Danbury Rd, Wilton, CT 06897-4405 | 2020-03-23 |
| 1770125510 | Pamela J Gerdauskas Konareski | Behavioral Analyst | 84 Danbury Rd, Wilton, CT 06897-4450 | 2019-10-14 |
| 1659923977 | Kristen Marie Ficorilli | Behavioral Analyst | 59 Danbury Rd, Wilton, CT 06897-4405 | 2019-07-16 |
| 1801458179 | Lonai N Noble | Behavioral Analyst | 59 Danbury Rd, Wilton, CT 06897-4405 | 2019-07-08 |
| 1629552104 | Nichole M Favazza | Behavioral Analyst | 59 Danbury Rd, Wilton, CT 06897-4405 | 2018-09-20 |
| 1558810069 | Jeanmarie Gaudrault | Behavioral Analyst | 59 Danbury Rd, Wilton, CT 06897-4405 | 2016-09-26 |
| 1902352446 | Danielle Cassano | Behavioral Analyst | 5 River Rd, Suite 142, Wilton, CT 06897-4069 | 2016-08-25 |
| 1407214273 | Micahel Soderlund | Behavioral Analyst | 5 River Rd, Suite 142, Wilton, CT 06897-4069 | 2016-02-08 |
| Find all providers in WILTON | ||||
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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.