Laura Vangor, BCBA

Individual provider Active NPI Behavior Analyst · Beacon Falls, CT

NPI 1669928461 · NPPES record last updated Aug 31, 2016

Key facts

NPI
1669928461
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-15-19362 (CT)
Practice address
2 N Main St
Apt B170
Beacon Falls, CT 06403-1151
Phone
(203) 982-1246
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-15-19362 CT Yes

Addresses

Primary practice location

2 N Main St
Apt B170
Beacon Falls, CT 06403-1151

Mailing address

2 N Main St
Apt B170
Beacon Falls, CT 06403-1151
Phone (203) 982-1246

Other providers in Beacon Falls, CT

All providers in Beacon Falls, CT · Behavior Analyst in Connecticut

Sources for this page

Verify at the official NPI Registry.