| Chickadee Behavioral Consulting, Llc | |
|
696 Chickadee Ln Stratford CT 06614-2410 | |
| (203) 240-0174 | |
| Not Available |
| Full Name | Chickadee Behavioral Consulting, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 696 Chickadee Ln, Stratford, Connecticut |
| Authorized Official Name and Position | Travis K Passaro (OWNER) |
| Authorized Official Contact | 2032400174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chickadee Behavioral Consulting, Llc 696 Chickadee Ln Stratford CT 06614-2410 Ph: (203) 240-0174 | Chickadee Behavioral Consulting, Llc 696 Chickadee Ln Stratford CT 06614-2410 Ph: (203) 240-0174 |
| NPI Number | 1225567209 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225567209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-13-13804 (Connecticut) | Primary |
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