NPI 1407399660
Autism Behavioral Health
Practice location
- Address
- 100 Reserve Rd STE F300, Danbury, CT 06810
- Phone
- (203) 429-5318
- Fax
- (203) 628-4388
Authorised official
- Name
- Jessie Wong
- Title
- Clinical Director
- Phone
- (203) 884-1268
Registered specialties (4)
Behavior Analyst
Primary
Professional Counselor
Clinical Social Worker
Assistant Behavior Analyst
Registry record
- NPI
- 1407399660
- Entity type
- Organization
- NPI issued
- 21 Nov 2016
- Record last updated
- 24 Jul 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.