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Deactivated NPI 1104180199 Deactivated / Inactive NPI Female Practitioner

Dr. Chunying Sandy Jin , PHD BCBA-D

Behavior Analyst • Willimantic, 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, Dr. Chunying Jin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 25, 2012
NPI Deactivation Date July 17, 2023
Total Practice Duration ~11 Years of Practice (2012 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Chunying Jin, PHD BCBA-D was a registered Behavior Analyst practicing in Willimantic, CT. Throughout an active medical career spanning 11 years, Dr. Jin provided care at the practice location at 83 WINDHAM ST until profile deactivation on 2023-07-17.

Practice Location & Contact Primary Location

Practice Address

83 Windham St
Eastern Connecticut State University, Psychology Dept

Willimantic, CT 062262211

Telephone 9098378140

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Willimantic, CT

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

Practicing in Willimantic, 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MA BACB201818

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
Thomas Holton , MSSAT, C

Specialist/Technologist - Athletic Trainer

NPI 1154420164
Rachel Vanscoy

Specialist/Technologist - Athletic Trainer

NPI 1295135713

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 17, 2023

Record deactivated on July 17, 2023

NPI Profile Active April 16, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 16, 2015

Registered at 83 WINDHAM ST, EASTERN CONNECTICUT STATE UNIVERSITY, PSYCHOLOGY DEPT, WILLIMANTIC, CT 062262211 (Tel: 9098378140)

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Updated Business Mailing Address April 16, 2015

Registered at 465 BUCKLAND HILLS DR APT 35334, MANCHESTER, CT 060429109 (Tel: 9098378140)

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Provider Name / Credentials Updated April 16, 2015

Recorded as CHUNYING JIN, PH.D. BCBA-D

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2015

Behavior Analyst (License #BACB201818 in MA)

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Initial NPI Registration & Enumeration June 25, 2012

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: 1104180199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2012
Last Update: April 16, 2015
Deactivation Date: July 17, 2023

Mailing Address

465 Buckland Hills Dr Apt 35334

Manchester, CT 060429109

Phone: 9098378140

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.