Robert Benedetto
Individual provider Active NPI Behavior Technician · Stratford, CT
NPI 1962968693 · NPPES record last updated Feb 19, 2019
Key facts
- NPI
- 1962968693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-18-73752 (CT)
- Practice address
- 355 Housatonic Ave
Stratford, CT 06615-6025 - Phone
- (203) 581-0537
- NPI assigned
- Feb 19, 2019
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-73752 | CT | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-73752 | CT | Yes |
Addresses
Primary practice location
355 Housatonic Ave
Stratford, CT 06615-6025
Mailing address
355 Housatonic Ave
Stratford, CT 06615-6025
Phone (203) 581-0537
Other practice location 1
225 Danbury Rd
Wilton, CT 06897-4007
Phone (203) 581-0537
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- Andrew Bedford
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- Gerald Alan Belkin
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- Jessica Andrea Bello
- Bennett Optometry PLLC
- Narvan Bennett
- Elizabeth Benz
- Paula K Berry
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All providers in Stratford, 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 Feb 19, 2019. 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.