| Easter Seals Connecticut Inc. | |
|
733 Summer St Stamford CT 06901-1081 | |
| (860) 242-2274 | |
| (860) 769-6564 |
| Full Name | Easter Seals Connecticut Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 733 Summer St, Stamford, Connecticut |
| Authorized Official Name and Position | Barry M Simon (PRESIDENT & CEO) |
| Authorized Official Contact | 8607693901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Connecticut Inc. 120 Holcomb St Hartford CT 06112-1529 Ph: (860) 242-2274 | Easter Seals Connecticut Inc. 733 Summer St Stamford CT 06901-1081 Ph: (860) 242-2274 |
| NPI Number | 1902888449 |
|---|---|
| Provider Enumeration Date | 11/18/2005 |
| Last Update Date | 07/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902888449 | NPI | - | NPPES |
| 800009104CT01 | Other | CT | BLUE CROSS/BLUE SHIELD |
| 004225935 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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