Active NPIIndividual provider

Gabrielle Betancourt, BCBA, LBA

Behavior Analyst in Putnam, Connecticut

NPI Number1265040414
Practice location
62 Providence Pike Ste E, Putnam, CT 06260-2415
Fax
888-588-2752
Last updated
January 15, 2024

Gabrielle Betancourt is a Behavior Analyst based in Putnam, CT. Gabrielle Betancourt practices in Putnam, CT and has the professional credentials of BCBA, LBA. The NPI Number for Gabrielle Betancourt is 1265040414 and holds a License No. 1-19-40359 (CT). The current practice location address for Gabrielle Betancourt is 62 Providence Pike Ste E, Putnam, CT 06260-2415 and can be reached out via phone at 855-295-3276 and via fax at 888-588-2752.

Provider Profile Details

NPI Number
1265040414
Provider Name
Gabrielle Betancourt
Credential
BCBA, LBA
Provider Entity Type
Individual
Gender
Female
Address
62 Providence Pike Ste E, Putnam, CT 06260-2415
Phone Number
855-295-3276
Fax Number
888-588-2752
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
July 14, 2020
Last Update Date
January 15, 2024
Certification Date
January 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Providence Pike Ste E
Putnam, CT 06260-2415
City
Putnam
Zip
06260-2415
Phone Number
855-295-3276
Fax Number
888-588-2752
Putnam, CT 06260Get directions →

Provider Business Mailing Address Details

Address
1333 S Mayflower Ave Ste 220
Monrovia, CA 91016-5239
City
Monrovia
State
CA
Zip
91016-5239
Phone Number
855-295-3276
Fax Number
888-588-2752

License Information

License Number
1-19-40359
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 Gabrielle Betancourt, BCBA, LBA?

The NPI number of Gabrielle Betancourt, BCBA, LBA is 1265040414. It was assigned on July 14, 2020 and is currently active in the NPPES registry.

What is the specialty of Gabrielle Betancourt, BCBA, LBA?

Gabrielle Betancourt, BCBA, LBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in CT under license number 1-19-40359.

Where does Gabrielle Betancourt, BCBA, LBA practice?

The practice location is 62 Providence Pike Ste E, Putnam, CT 06260-2415. The office can be reached at 855-295-3276 (phone) or 888-588-2752 (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 1265040414 directly on the NPPES registry website.

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