Organization
ADA THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOSEPH WEISS PH.D. (DIRECTOR)
(203) 540-5186
Entity
Organization
Contact information
Practice address
333 BENNETT ST, FAIRFIELD, CT 06825-1375
(203) 540-5186
Mailing address
333 BENNETT ST, FAIRFIELD, CT 06825-1375
(203) 540-5186
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
003214
CT
103K00000X
Behavior Analyst
003214
CT
103T00000X
Psychologist
Primary
003214
CT
103TB0200X
Cognitive & Behavioral Psychologist
003214
CT
103TC0700X
Clinical Psychologist
003214
CT
103TC2200X
Clinical Child & Adolescent Psychologist
003214
CT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/07/2013
Last updated
11/17/2015
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