# EASTER SEALS CONNECTICUT INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902888449
- **Authorized official:** MR. BARRY M SIMON (PRESIDENT & CEO)
- **Authorized official phone:** (860) 769-3901

## Contact information

- **Practice address:** 733 SUMMER ST, STAMFORD, CT 06901-1081
- **Practice address phone:** (860) 242-2274
- **Practice address fax:** (860) 769-6564
- **Mailing address:** 120 HOLCOMB ST, HARTFORD, CT 06112-1529
- **Mailing address phone:** (860) 242-2274
- **Mailing address fax:** (860) 769-6564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 07/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004225935 | — | CT |
| 01 | — | 800009104CT01 | BLUE CROSS/BLUE SHIELD | CT |