Individual provider · Type 1 NPI
Coleen E. Brakenwagen
Assistant Behavior Analyst · Putnam, CT
Practice location
62 Providence Pike Ste E
Putnam, CT 06260-2415
Mailing address
166 Halls Hill Rd
Danielson, CT 06239-3319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assistant Behavior Analyst Primary | 106E00000X | None listed |
Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …
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About NPI 1972171197
Coleen E. Brakenwagen's National Provider Identifier is 1972171197, issued on Jun 14, 2021. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Putnam, CT. The record was last updated on Jun 14, 2021.