Individual
JESSICA CHASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA M.ED
Contact information
Practice address
705 N MOUNTAIN RD, NEWINGTON, CT 06111-1412
(860) 233-3033
Mailing address
190 CAMBRIA AVE FL 1, NEWINGTON, CT 06111-2830
(860) 884-9065
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3175985
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3175985
CT DPH
CT
Enumeration date
02/04/2021
Last updated
02/04/2021
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