Organization
ABC-CT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAROLD MILLER M.ED. (CEO)
(617) 750-9398
Entity
Organization
Contact information
Practice address
68 WILDEMERE AVE, WATERBURY, CT 06705-1838
(617) 750-9398
(203) 841-1047
Mailing address
68 WILDEMERE AVE, WATERBURY, CT 06705-1838
(617) 750-9398
(203) 841-1047
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4082
NON MEDICAID
CT
05
—
4082
—
CT
Enumeration date
02/10/2021
Last updated
02/10/2021
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