Heather J Connelly, is a
Behavior Technician based in Fresno, California. Heather J Connelly is licensed to practice in NU (license number ) and her current practice location is
6177 N Thesta St Ste 103, Fresno, California. She can be reached at her office (for appointments etc.) via phone at
(559) 275-0559.
NPI number for Heather J Connelly is 1609016369 and her current mailing address is 16782 Von Karman Ave Ste 11, Irvine, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609016369.
Healthcare Provider's Profile
| Full Name | Heather J Connelly |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
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| Location | 6177 N Thesta St Ste 103, Fresno, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609016369
- Provider Enumeration Date: 02/20/2009
- Last Update Date: 06/28/2019
Medical Identifiers
Medical identifiers for Heather J Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609016369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (NU) | Secondary |
| 106S00000X | Behavior Technician | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heather J Connelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Heather J Connelly, 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 Ph: (949) 833-2237 | Heather J Connelly, 6177 N Thesta St Ste 103, Fresno, CA 93710 Ph: (559) 275-0559 |
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