Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE MAMACLAY, M.S., BCBA, LBA
ActiveBLAKE MAMACLAY, M.S., BCBA, LBA is a Behavior Analyst healthcare provider located in HARWINTON, Connecticut. NPI 1568355501 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · HARWINTON, CT
Registration Details
- NPI Number
- 1568355501
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2025 (1.1789883375043 yrs)
- Last Updated
- Jun 4, 2025
- License
-
2116 (CT)
Practice Information
- Address
-
163 LEAD MINE BROOK RDHARWINTON, CT, 067911315Browse CT providers · Browse ZIP 06791
- Phone
- 8603383130
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in HARWINTON, CT
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT ALLYN RODERICK | BCBA | 1730626417 |
| BRITANY LYNN SAMBERG | BCBA, LABA | 1164086401 |
| DANIELLE LEFEBVRE | BCBA, LBA | 1841838786 |
| EMMA GOSCIMINSKI | — | 1265159396 |
| MICAELA DOYLE | — | 1649081811 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.