IndividualActive
Carissa Brodeur
NPI 1174121057 · Behavior Technician · Putnam, CT
Carissa Brodeur is a Behavior Technician provider in Putnam, CT (NPI 1174121057).
Provider details
- NPI number
- 1174121057
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
62 Providence Pike Ste E
Putnam, CT 06260-2415
Phone: (888) 805-0759
Street-level locationGet directions
Mailing address
1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380
Registry dates
- Enumerated
- 2020-10-13
- Last updated
- 2020-10-13
- Certified
- 2020-10-13
Frequently asked questions
- What is Carissa Brodeur's NPI number?
- Carissa Brodeur's National Provider Identifier (NPI) is 1174121057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carissa Brodeur's specialty?
- Carissa Brodeur is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Carissa Brodeur located?
- Carissa Brodeur's practice location on file with NPPES is 62 Providence Pike Ste E, Putnam, CT 06260-2415.
- What is Carissa Brodeur's phone number?
- The practice phone number listed in the NPPES registry for Carissa Brodeur is (888) 805-0759.
- Is Carissa Brodeur's NPI active?
- Yes — Carissa Brodeur's NPI (1174121057) is active in the NPPES registry as of the last update on 2020-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.