Active NPIIndividual provider

Mrs. Krista S Bordeleau, MA ED, BCBA

Behavior Analyst in Ledyard, Connecticut

NPI Number1043536030
Practice location
758R Colonel Ledyard Hwy, Ledyard, CT 06339-1570
Fax
860-381-5712
Last updated
April 8, 2016

Krista Schermerhorn Bordeleau is a Behavior Analyst based in Ledyard, CT. Krista Schermerhorn Bordeleau practices in Ledyard, CT and has the professional credentials of MA ED, BCBA. The NPI Number for Krista Schermerhorn Bordeleau is 1043536030 and holds a License No. 1-08-4271 (BCBA) (CT). The current practice location address for Krista Schermerhorn Bordeleau is 758R Colonel Ledyard Hwy, Ledyard, CT 06339-1570 and can be reached out via phone at 860-381-5537 and via fax at 860-381-5712.

Provider Profile Details

NPI Number
1043536030
Provider Name
Krista Schermerhorn Bordeleau
Credential
MA ED, BCBA
Provider Entity Type
Individual
Gender
Female
Address
758R Colonel Ledyard Hwy, Ledyard, CT 06339-1570
Phone Number
860-381-5537
Fax Number
860-381-5712
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Other Names
Krista Carol Schermerhorn, MA ED (Former Name)
Provider Enumeration Date
April 15, 2010
Last Update Date
April 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
758R Colonel Ledyard Hwy
Ledyard, CT 06339-1570
Zip
06339-1570
Phone Number
860-381-5537
Fax Number
860-381-5712
Ledyard, CT 06339Get directions →

Provider Business Mailing Address Details

Address
Po Box 306
Ledyard, CT 06339-0306
City
Ledyard
State
CT
Zip
06339-0306
Phone Number
860-381-5537
Fax Number
860-381-5712

License Information

License Number
1-08-4271 (BCBA)
License State
CT
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Krista S Bordeleau, MA ED, BCBA?

The NPI number of Mrs. Krista S Bordeleau, MA ED, BCBA is 1043536030. It was assigned on April 15, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Krista S Bordeleau, MA ED, BCBA?

Mrs. Krista S Bordeleau, MA ED, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in CT under license number 1-08-4271 (BCBA).

Where does Mrs. Krista S Bordeleau, MA ED, BCBA practice?

The practice location is 758R Colonel Ledyard Hwy, Ledyard, CT 06339-1570. The office can be reached at 860-381-5537 (phone) or 860-381-5712 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043536030 directly on the NPPES registry website.

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