NPI 1023973286

Azhane Samuel

Practitioner Behavior Technician Shelton, CT

Practice location

Address: 1000 Bridgeport Ave # 405, Shelton, CT 06484-4660
Phone: (203) 993-6592
Mailing address: 183 Deforest Ave, Bridgeport, CT 06607-2414

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Connecticut →

Registry record

NPI: 1023973286
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Dec 2025
Record last updated: 19 Dec 2025

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.