Healthcare Provider Details
I. General information
NPI: 1902645294
Provider Name (Legal Business Name): PRIDE AND JOY ABA INTERVENTIONS AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/24/2024
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
38 BARBER FARM RD
LISBON CT
06351-1064
US
IV. Provider business mailing address
38 BARBER FARM RD
LISBON CT
06351-1064
US
V. Phone/Fax
- Phone: 860-245-1519
- Fax: 860-969-4552
- Phone: 860-245-1519
- Fax: 860-969-4552
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELISA
ROYA
POWELL
Title or Position: CLINICAL DIRECTOR
Credential: BCBA, LBA-CT
Phone: 860-245-1519