David K Bennett, M.S.

Individual provider Active NPI Behavior Analyst · Westport, CT

NPI 1346570447 · NPPES record last updated Jan 12, 2010

Key facts

NPI
1346570447
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
120 Post Rd W
Suite 102
Westport, CT 06880-4206
Phone
(203) 227-3383
Fax
(203) 227-7490
NPI assigned
Jan 12, 2010
Sex
Male
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
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

120 Post Rd W
Suite 102
Westport, CT 06880-4206

Mailing address

120 Post Rd W
Suite 102
Westport, CT 06880-4206
Phone (203) 227-3383

Other providers in Westport, CT

All providers in Westport, CT · Behavior Analyst in Connecticut

Sources for this page

Verify at the official NPI Registry.