Active NPIIndividual providerSole proprietor

Azriel E Dziadul

Behavior Technician in Baltic, Connecticut

NPI Number1366319287
Practice location
77 River St, Baltic, CT 06330-1337
Fax
—
Last updated
October 23, 2025

Azriel Ezabeth-Rayne Dziadul is a Behavior Technician based in Baltic, CT. Azriel Ezabeth-Rayne Dziadul practices in Baltic, CT. The NPI Number for Azriel Ezabeth-Rayne Dziadul is 1366319287. The current practice location address for Azriel Ezabeth-Rayne Dziadul is 77 River St, Baltic, CT 06330-1337 and can be reached out via phone at 860-710-9625.

Provider Profile Details

NPI Number
1366319287
Provider Name
Azriel Ezabeth-Rayne Dziadul
Provider Entity Type
Individual
Gender
Female
Address
77 River St, Baltic, CT 06330-1337
Phone Number
860-710-9625
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 23, 2025
Last Update Date
October 23, 2025
Certification Date
October 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 River St
Baltic, CT 06330-1337
City
Baltic
Zip
06330-1337
Phone Number
860-710-9625
Baltic, CT 06330Get directions →

Provider Business Mailing Address Details

Address
77 River St
Baltic, CT 06330-1337
City
Baltic
State
CT
Zip
06330-1337
Phone Number
860-710-9625

License Information

License State
CT
Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Azriel E Dziadul?

The NPI number of Azriel E Dziadul is 1366319287. It was assigned on October 23, 2025 and is currently active in the NPPES registry.

What is the specialty of Azriel E Dziadul?

Azriel E Dziadul is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Azriel E Dziadul practice?

The practice location is 77 River St, Baltic, CT 06330-1337. The office can be reached at 860-710-9625 (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 1366319287 directly on the NPPES registry website.

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