Koren Edmond
Individual provider Active NPI Behavior Technician · Griswold, CT
NPI 1124990312 · NPPES record last updated Sep 18, 2025
Key facts
- NPI
- 1124990312
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 106S00000X (CT)
- Practice address
- 440 Taylor Hill Rd
Griswold, CT 06351-2519 - Phone
- (518) 951-8726
- NPI assigned
- Sep 18, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106S00000X | CT | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 106S00000X | CT | Yes |
Addresses
Primary practice location
440 Taylor Hill Rd
Griswold, CT 06351-2519
Mailing address
440 Taylor Hill Rd
Griswold, CT 06351-2519
Other providers in Griswold, CT
- Karleigh Chase
- Amy Katherine Collins
- Michelle Dennis
- Hannah Margaret Dorff
- Kirsten Alexandra Drobiak
- Nicholas Gaughan
- Genoa Healthcare LLC
- Griswold Chiropractic, LLC
- Erin Haggan
- Healing the Culture LLC
All providers in Griswold, CT · Behavior Technician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.