Healthcare Provider Details

I. General information

NPI: 1831008275
Provider Name (Legal Business Name): NORA NIMELY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 WINDING BROOK DR STE 1040
GLASTONBURY CT
06033-4337
US

IV. Provider business mailing address

9 MILLBROOK DR
EAST HARTFORD CT
06118-2636
US

V. Phone/Fax

Practice location:
  • Phone: 860-362-0225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: