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JACK THOMAS DESROCHER
NPI 1669103974
Behavior Analyst in Windsor, CT

Active since June 19, 2022
360 BLOOMFIELD AVE STE 301, WINDSOR, CT 06095(877) 418-2978 Get Directions Write a Review

NPPES record last updated: June 19, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Jack Thomas Desrocher NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK THOMAS DESROCHER (NPI 1669103974) is an individual behavior analyst provider in Windsor, Connecticut and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1669103974
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameJACK THOMAS DESROCHER
Location Address360 BLOOMFIELD AVE STE 301Windsor, CT 06095-2700
Mailing Address350 Fairway Dr Ste 101Deerfield Beach, FL 33441-1834 · (877) 418-2978 · Fax (866) 500-2186
Phone(877) 418-2978
Sole ProprietorNo
Enumeration DateJune 19, 2022
NPPES CertifiedJune 19, 2022
✔ NPI 1669103974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
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.
360 BLOOMFIELD AVE STE 301, Windsor, CT 06095
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLIN SCHMIDT NP-C
Nurse Practitioner (Psychiatric/Mental Health)
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (860) 281-7687
MELISSA NOLAN
Behavior Technician
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (877) 418-2978
NIYATI DAVE
Behavior Technician
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (877) 418-2979
ALEXANDRIA JOSELYN TORRES
Behavior Technician
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (888) 880-9270
HEATHER PRATT
Behavior Technician
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (877) 418-2978
TATIANA LOPEZ
Behavior Analyst
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (888) 880-9270
ALEXIS MARLEEN KINNEY
Behavior Technician
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (818) 345-2345
CHARLENE A KELLY
Behavior Technician
360 BLOOMFIELD AVE STE 301
WINDSOR, CT 06095
Capitol Planning Region (877) 418-2978

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Desrocher's NPI number?

The NPI number for Jack Desrocher is 1669103974. It was assigned to this individual provider in the NPPES registry on June 19, 2022.

Where is Jack Desrocher located?

Jack Desrocher practices at 360 Bloomfield Ave Ste 301, Windsor, CT 06095. The listed phone number is (877) 418-2978.

What is Jack Desrocher's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Jack Desrocher was last updated on June 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.