Individual
SHANE FEDIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA-CT
Contact information
Practice address
802 FEDERAL RD, BROOKFIELD, CT 06804-4008
(203) 794-2523
Mailing address
30 REYNOLDS FARM RD, NEW MILFORD, CT 06776-3865
(203) 794-2523
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2086
CT
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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