NPI 1972171197

Coleen E Brakenwagen

Practitioner Assistant Behavior Analyst Putnam, CT

Practice location

Address: 62 Providence Pike STE E, Putnam, CT 06260-2415
Phone: (888) 805-0759
Mailing address: 166 Halls Hill Rd, Danielson, CT 06239-3319

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1972171197
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2021
Record last updated: 14 Jun 2021

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.