Active NPIIndividual provider

Betina M Cornwall, BCBA

Behavior Analyst in Milford, Connecticut

NPI Number1386225811
Practice location
95 Wolf Harbor RD, Milford, CT 06461-1938
Fax
—
Last updated
April 16, 2021

Betina Marie Cornwall is a Behavior Analyst based in Milford, CT. Betina Marie Cornwall practices in Milford, CT and has the professional credentials of BCBA. The NPI Number for Betina Marie Cornwall is 1386225811 and holds a License No. 1159 (CT). The current practice location address for Betina Marie Cornwall is 95 Wolf Harbor RD, Milford, CT 06461-1938 and can be reached out via phone at 203-882-8439.

Provider Profile Details

NPI Number
1386225811
Provider Name
Betina Marie Cornwall
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
95 Wolf Harbor RD, Milford, CT 06461-1938
Phone Number
203-882-8439
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
April 16, 2021
Last Update Date
April 16, 2021
Certification Date
April 16, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 Wolf Harbor RD
Milford, CT 06461-1938
Zip
06461-1938
Phone Number
203-882-8439
Milford, CT 06461Get directions →

Provider Business Mailing Address Details

Address
383 Arbutus St
Middletown, CT 06457-7102
City
Middletown
State
CT
Zip
06457-7102
Phone Number
860-301-2621

License Information

License Number
1159
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 Betina M Cornwall, BCBA?

The NPI number of Betina M Cornwall, BCBA is 1386225811. It was assigned on April 16, 2021 and is currently active in the NPPES registry.

What is the specialty of Betina M Cornwall, BCBA?

Betina M Cornwall, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in CT under license number 1159.

Where does Betina M Cornwall, BCBA practice?

The practice location is 95 Wolf Harbor RD, Milford, CT 06461-1938. The office can be reached at 203-882-8439 (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 1386225811 directly on the NPPES registry website.

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