Emma Gosciminski
Individual provider Active NPI Behavior Analyst · Harwinton, CT
NPI 1265159396 · NPPES record last updated Oct 19, 2022
Key facts
- NPI
- 1265159396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1532 (CT)
- Practice address
- 163 Lead Mine Brook Rd
Harwinton, CT 06791-1315 - Phone
- (860) 751-8573
- NPI assigned
- Oct 19, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 1532 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Behavioral Consulting, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1532 | CT | Yes |
Addresses
Primary practice location
163 Lead Mine Brook Rd
Harwinton, CT 06791-1315
Mailing address
13 Thistle Holw
Avon, CT 06001-3960
Other providers in Harwinton, CT
- Crystal Clifford, LCSW PLLC
- Micaela Doyle
- Sara Ashley Fador
- David Larsson French
- Mary C Giarratano
- Harwinton Ambulance Association Inc
- Pamela A. Heuschkel-Eggleston
- Donna L Hudson
- KB Medical Nutrition Therapy LLC
- Danielle Lefebvre
All providers in Harwinton, CT · Behavior Analyst in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2022. 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.