Individual
MR. ERIC JOSEPH KOESTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS.ED., BCBA
Contact information
Practice address
119 SILVER BEECH RD, SOUTHBURY, CT 06488-2786
(203) 628-6491
Mailing address
119 SILVER BEECH RD, SOUTHBURY, CT 06488-2786
(203) 628-6491
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10033
CT
Other
Enumeration date
08/18/2013
Last updated
08/18/2013
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