Individual
JENNY WEIR-ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
64 FILLEY ST, WINDSOR, CT 06095-2920
(860) 631-7355
Mailing address
64 FILLEY ST, WINDSOR, CT 06095-2920
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25214
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009309
BEACON HEALTH OPTIONS
—
Enumeration date
07/24/2017
Last updated
07/24/2026
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