Organization
CCSN BEHAVIORAL HEALTH, LLC
Active
Parent organization
THE CENTER FOR CHILDREN WITH SPECIAL NEEDS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CENTER FOR CHILDREN WITH SPECIAL NEEDS, LLC
Authorized official
DR. MICHAEL D POWERS PSYD (EXECUTIVE DIRECTOR)
(860) 430-1762
Entity
Organization
Contact information
Practice address
2300 MAIN ST, GLASTONBURY, CT 06033-2218
(860) 430-1762
(860) 430-1767
Mailing address
2300 MAIN ST, GLASTONBURY, CT 06033-2218
(860) 430-1762
(860) 430-1767
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
001779
CT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
001779
CT
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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