Active NPIIndividual provider

Elizabeth A Ellsworth, MS, BCBA

Behavior Analyst in Plainville, Connecticut

NPI Number1720510613
Practice location
56 W Main St, Plainville, CT 06062-1904
Fax
860-351-5774
Last updated
March 30, 2017

Elizabeth Anne Ellsworth is a Behavior Analyst based in Plainville, CT. Elizabeth Anne Ellsworth practices in Plainville, CT and has the professional credentials of MS, BCBA. The NPI Number for Elizabeth Anne Ellsworth is 1720510613 and holds a License No. 1-17-25291 (CT). The current practice location address for Elizabeth Anne Ellsworth is 56 W Main St, Plainville, CT 06062-1904 and can be reached out via phone at 860-351-5407 and via fax at 860-351-5774.

Provider Profile Details

NPI Number
1720510613
Provider Name
Elizabeth Anne Ellsworth
Credential
MS, BCBA
Provider Entity Type
Individual
Gender
Female
Address
56 W Main St, Plainville, CT 06062-1904
Phone Number
860-351-5407
Fax Number
860-351-5774
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
March 30, 2017
Last Update Date
March 30, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
56 W Main St
Plainville, CT 06062-1904
Zip
06062-1904
Phone Number
860-351-5407
Fax Number
860-351-5774
Plainville, CT 06062Get directions →

Provider Business Mailing Address Details

Address
56 W Main St
Plainville, CT 06062-1904
City
Plainville
State
CT
Zip
06062-1904
Phone Number
860-351-5407
Fax Number
860-351-5774

License Information

License Number
1-17-25291
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 Elizabeth A Ellsworth, MS, BCBA?

The NPI number of Elizabeth A Ellsworth, MS, BCBA is 1720510613. It was assigned on March 30, 2017 and is currently active in the NPPES registry.

What is the specialty of Elizabeth A Ellsworth, MS, BCBA?

Elizabeth A Ellsworth, MS, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in CT under license number 1-17-25291.

Where does Elizabeth A Ellsworth, MS, BCBA practice?

The practice location is 56 W Main St, Plainville, CT 06062-1904. The office can be reached at 860-351-5407 (phone) or 860-351-5774 (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 1720510613 directly on the NPPES registry website.

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