Carissa L Brodeur
Behavior Technician in Putnam, Connecticut
1174121057- Practice location
- 62 Providence Pike Ste E, Putnam, CT 06260-2415
- Phone
- 888-805-0759
- Fax
- —
- Last updated
- October 13, 2020
Carissa Leilani Brodeur is a Behavior Technician based in Putnam, CT. Carissa Leilani Brodeur practices in Putnam, CT. The NPI Number for Carissa Leilani Brodeur is 1174121057. The current practice location address for Carissa Leilani Brodeur is 62 Providence Pike Ste E, Putnam, CT 06260-2415 and can be reached out via phone at 888-805-0759.
Provider Profile Details
- NPI Number
- 1174121057
- Provider Name
- Carissa Leilani Brodeur
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 62 Providence Pike Ste E, Putnam, CT 06260-2415
- Phone Number
- 888-805-0759
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 13, 2020
- Last Update Date
- October 13, 2020
- Certification Date
- October 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 62 Providence Pike Ste E
Putnam, CT 06260-2415 - City
- Putnam
- State
- Connecticut
- Zip
- 06260-2415
- Phone Number
- 888-805-0759
Provider Business Mailing Address Details
- Address
- 1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380 - City
- Pasadena
- State
- CA
- Zip
- 91106-2380
- Phone Number
- 818-241-6780
- Fax Number
- 818-241-6853
License Information
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Technicians near Putnam, CT
View all Behavior Technicians in Putnam →- Abigail DanielsBehavior Technician · NPI 1700422466
- Bethany AndersonBehavior Technician · NPI 1952978058
- Bethany BarretteBehavior Technician · NPI 1649896390
- Brianna P BirchallBehavior Technician · NPI 1154972032
- Britney L CabralBehavior Technician · NPI 1386224475
- Cameron D BeckBehavior Technician · NPI 1639745268
Frequently Asked Questions
What is the NPI number of Carissa L Brodeur?
The NPI number of Carissa L Brodeur is 1174121057. It was assigned on October 13, 2020 and is currently active in the NPPES registry.
What is the specialty of Carissa L Brodeur?
Carissa L Brodeur is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Carissa L Brodeur practice?
The practice location is 62 Providence Pike Ste E, Putnam, CT 06260-2415. The office can be reached at 888-805-0759 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174121057 directly on the NPPES registry website.