Organization · Type 2 NPI
CCSN Behavioral Health, LLC
Intellectual & Developmental Disabilities Psychologist · Glastonbury, CT
NPI number
1144767286
Active
Practice location
2300 Main St
Glastonbury, CT 06033-2218
Fax (860) 430-1767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 001779 (CT) |
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 001779 (CT) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
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About NPI 1144767286
CCSN Behavioral Health, LLC's National Provider Identifier is 1144767286, issued on Jan 27, 2017. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Glastonbury, CT. The record was last updated on Jan 27, 2017.