Organization
THE VOGL PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW VOGL MA, BCBA (OWNER)
(860) 391-5124
Entity
Organization
Contact information
Practice address
15 HAMMOCK PKWY, CLINTON, CT 06413
(860) 391-5124
Mailing address
PO BOX 219, MADISON, CT 06443-0219
(860) 391-5124
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1-15-18792
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-18792
BCBA CERTIFICATION NUMBER
CT
Enumeration date
05/04/2016
Last updated
05/04/2016
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