Organization
CONNECTICUT BEHAVIOR CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA L WAZ MA, BCBA (OWNER)
(475) 559-2446
Entity
Organization
Contact information
Practice address
42 VALLEYVIEW DR, MIDDLEFIELD, CT 06455-1004
(475) 449-2446
Mailing address
42 VALLEYVIEW DR, MIDDLEFIELD, CT 06455-1004
(475) 559-2446
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-10-7692
CT
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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