Organization
AUTISM BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WONG BCBA, LBA (CLINICAL DIRECTOR)
(203) 884-1268
Entity
Organization
Contact information
Practice address
100 RESERVE RD STE F300, DANBURY, CT 06810
(203) 429-5318
(203) 628-4388
Mailing address
100 RESERVE RD STE F300, DANBURY, CT 06810
(203) 429-5318
(203) 628-4388
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
11/21/2016
Last updated
07/24/2020
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