| Cusack Applied Behavior Analysis | |
|
1 Andover Rd New Fairfield CT 06812-3012 | |
| (203) 885-9122 | |
| (203) 546-8163 |
| Full Name | Cusack Applied Behavior Analysis |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1 Andover Rd, New Fairfield, Connecticut |
| Authorized Official Name and Position | Ariana M Cusack (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 2038859122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cusack Applied Behavior Analysis 1 Andover Rd New Fairfield CT 06812-3012 Ph: (203) 885-9122 | Cusack Applied Behavior Analysis 1 Andover Rd New Fairfield CT 06812-3012 Ph: (203) 885-9122 |
| NPI Number | 1003449414 |
|---|---|
| Provider Enumeration Date | 02/14/2020 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003449414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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