Blake Mamaclay, M.S., BCBA, LBA
NPI 1568355501ActiveIndividual· Behavior Analyst· Rocky Hill, CT
Behavior Analyst (M.S., BCBA, LBA) in Rocky Hill, Connecticut, licensed in CT, with an NPI issued in May 2025.
Overview
| NPI | 1568355501 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., BCBA, LBA |
| Sole proprietor | No |
| NPI issued | May 29, 2025 |
| Last updated in NPPES | Apr 20, 2026 |
| Certified by provider | Apr 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 2116 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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