NPI 1003331471

Denae Justine Gustafson

Practitioner Behavior Analyst Cromwell, CT

Practice location

Address: 110 Court St STE 3, Cromwell, CT 06416-1273
Phone: (860) 613-9930

Registered specialties (3)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-18-29820 (CT)

Other Behavior Analyst providers in Connecticut →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 567 (CT)

Developmental Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in Connecticut →

Registry record

NPI: 1003331471
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2017
Record last updated: 19 May 2023

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.