Active NPIIndividual provider

Mr. Andrelle Beverly Jr.

Behavior Technician in East Granby, Connecticut

NPI Number1073427993
Practice location
2 Gateway Blvd Ste 110, East Granby, CT 06026-8710
Fax
—
Last updated
September 29, 2026

Andrelle Beverly is a Behavior Technician based in East Granby, CT. Andrelle Beverly practices in East Granby, CT. The NPI Number for Andrelle Beverly is 1073427993. The current practice location address for Andrelle Beverly is 2 Gateway Blvd Ste 110, East Granby, CT 06026-8710 and can be reached out via phone at 888-754-0398.

Provider Profile Details

NPI Number
1073427993
Provider Name
Andrelle Beverly
Provider Entity Type
Individual
Gender
Male
Address
2 Gateway Blvd Ste 110, East Granby, CT 06026-8710
Phone Number
888-754-0398
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
September 29, 2026
Last Update Date
September 29, 2026
Certification Date
September 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Gateway Blvd Ste 110
East Granby, CT 06026-8710
Zip
06026-8710
Phone Number
888-754-0398
East Granby, CT 06026Get directions →

Provider Business Mailing Address Details

Address
195 Windsor Ave
Windsor, CT 06095-4538
City
Windsor
State
CT
Zip
06095-4538
Phone Number
860-944-5536

License Information

License State
CT
Taxonomy
Behavior Technician · 106S00000X · 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 Mr. Andrelle Beverly Jr.?

The NPI number of Mr. Andrelle Beverly Jr. is 1073427993. It was assigned on September 29, 2026 and is currently active in the NPPES registry.

What is the specialty of Mr. Andrelle Beverly Jr.?

Mr. Andrelle Beverly Jr. is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Mr. Andrelle Beverly Jr. practice?

The practice location is 2 Gateway Blvd Ste 110, East Granby, CT 06026-8710. The office can be reached at 888-754-0398 (phone).

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 1073427993 directly on the NPPES registry website.

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