Abc-CT,LLC
Organization Active NPI Behavior Analyst · Waterbury, CT
NPI 1831781954 · NPPES record last updated Feb 10, 2021
Key facts
- NPI
- 1831781954
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- ABC-CT,LLC
- Practice address
- 68 Wildemere Ave
Waterbury, CT 06705-1838 - Phone
- (617) 750-9398
- Fax
- (203) 841-1047
- NPI assigned
- Feb 10, 2021
- Organization subpart
- No
Authorized official
- Name
- Mr. Tarold Miller, M.ED.
- Title
- Ceo
- Phone
- (617) 750-9398
Practitioners 1
-
Tarold Miller, M.ED.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
68 Wildemere Ave
Waterbury, CT 06705-1838
Mailing address
68 Wildemere Ave
Waterbury, CT 06705-1838
Phone (617) 750-9398
Other practice location 1
68 Wildemere Ave
Waterbury, CT 06705-1838
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4082 | Medicaid | CT | |
| 4082 | Other | CT | NON MEDICAID |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2021. 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.