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Deactivated NPI 1174911143 Deactivated / Inactive NPI Female Practitioner

Kristine Brewer , BCBA

Behavior Analyst • Berlin, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kristine Brewer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 29, 2014
NPI Deactivation Date August 18, 2023
Total Practice Duration ~9 Years of Practice (2014 – 2023)

Professional Overview & Biography Verified Profile Summary

Kristine Brewer, BCBA was a registered Behavior Analyst practicing in Berlin, CT. Throughout an active medical career spanning 9 years, Kristine Brewer provided care at the practice location at 1261 BERLIN TURNPIKE until profile deactivation on 2023-08-18.

Practice Location & Contact Primary Location

Practice Address

1261 Berlin Turnpike

Berlin, CT 06037

Telephone 8609335751
Fax 8882571805
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Berlin, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Berlin, CT (1366 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-10
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CT 1-12-12036

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License CT 67

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Kristen Tarbell , BCBA

Behavior Analyst

NPI 1366924342

Board Certified Behavior Analyst

Sarah Maltese

Behavior Analyst

NPI 1649761222

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
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Updated Practice Location February 27, 2024

Registered at 1261 BERLIN TURNPIKE, BERLIN, CT 06037 (Tel: 8609335751)

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Updated Business Mailing Address February 27, 2024

Registered at 1261 BERLIN TURNPIKE, BERLIN, CT 06037 (Tel: 8609335751)

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Provider Name / Credentials Updated February 27, 2024

Recorded as KRISTINE BREWER, BCBA

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2024

Behavior Analyst (License #67 in CT)

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NPI Profile Deactivated August 18, 2023

Record deactivated on August 18, 2023

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Updated Practice Location February 23, 2022

Registered at 1261 BERLIN TURNPIKE, BERLIN, CT 06037 (Tel: 8609335751)

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Updated Business Mailing Address February 23, 2022

Registered at 1261 BERLIN TURNPIKE, BERLIN, CT 06037 (Tel: 8609335751)

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2022

Behavior Analyst (License #67 in CT)

NPI Profile Active December 29, 2014

NPI status registered as active in NPPES database

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Updated Practice Location December 29, 2014

Registered at 81 BROOKFIELD ST, MANCHESTER, CT 060404214 (Tel: 8609335751)

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Updated Business Mailing Address December 29, 2014

Registered at 81 BROOKFIELD ST, MANCHESTER, CT 060404214 (Tel: 8609335751)

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Provider Name / Credentials Updated December 29, 2014

Recorded as KRISTINE BREWER, BCBA

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2014

Behavior Analyst (License #1-12-12036 in CT)

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Initial NPI Registration & Enumeration December 29, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174911143
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2014
Last Update: February 27, 2024
Deactivation Date: August 18, 2023
Sole Proprietor: No

Mailing Address

1261 Berlin Turnpike

Berlin, CT 06037

Phone: 8609335751

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.