Samani Shyamindu Abekoongedara
Individual provider Active NPI Behavior Technician · East Hartford, CT
NPI 1689377665 · NPPES record last updated Mar 27, 2023
Key facts
- NPI
- 1689377665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 77 Hartland St Ste 108
East Hartford, CT 06108-3259 - Phone
- (888) 754-0398
- NPI assigned
- Mar 27, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
77 Hartland St Ste 108
East Hartford, CT 06108-3259
Mailing address
2110 Broadleaf Blvd
Manchester, CT 06042-7324
Phone (860) 830-5396
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All providers in East Hartford, 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 Mar 27, 2023. 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.