Organization
THE CENTER FOR PEDIATRIC AND FAMILY GROWTH
Active
Other names
The Center for Pediatric and Family Growth
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN GREGORY SCOTT BCBA (BCBA/OWNER)
(203) 722-9920
Entity
Organization
Contact information
Practice address
49 HAMPTON RD, HAMDEN, CT 06518-3113
(203) 722-9920
Mailing address
49 HAMPTON RD, HAMDEN, CT 06518-3113
(203) 722-9920
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-33290
BACB
—
01
—
1326510777
NPI
—
01
—
BA.000750
DEPARTMENT PUBLIC HEALTH
CT
Enumeration date
01/11/2019
Last updated
10/03/2022
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