| The Center For Pediatric And Family Growth | |
|
49 Hampton Rd Hamden CT 06518-3113 | |
| (203) 722-9920 | |
| Not Available |
| Full Name | The Center For Pediatric And Family Growth |
|---|---|
| Speciality | Behavior Analyst |
| Location | 49 Hampton Rd, Hamden, Connecticut |
| Authorized Official Name and Position | Justin Gregory Scott (BCBA/OWNER) |
| Authorized Official Contact | 2037229920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Pediatric And Family Growth 49 Hampton Rd Hamden CT 06518-3113 Ph: (203) 722-9920 | The Center For Pediatric And Family Growth 49 Hampton Rd Hamden CT 06518-3113 Ph: (203) 722-9920 |
| NPI Number | 1003380130 |
|---|---|
| Provider Enumeration Date | 01/11/2019 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003380130 | NPI | - | NPPES |
| 1-18-33290 | Other | BACB | |
| BA.000750 | Other | CT | DEPARTMENT PUBLIC HEALTH |
| 1326510777 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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