Shane Fedigan, BCBA, LBA-CT
Behavior Analyst in Brookfield, Connecticut
1396546859- Practice location
- 802 Federal RD, Brookfield, CT 06804-4008
- Phone
- 203-794-2523
- Fax
- —
- Last updated
- March 21, 2025
Shane Fedigan is a Behavior Analyst based in Brookfield, CT. Shane Fedigan practices in Brookfield, CT and has the professional credentials of BCBA, LBA-CT. The NPI Number for Shane Fedigan is 1396546859 and holds a License No. 2086 (CT). The current practice location address for Shane Fedigan is 802 Federal RD, Brookfield, CT 06804-4008 and can be reached out via phone at 203-794-2523.
Provider Profile Details
- NPI Number
- 1396546859
- Provider Name
- Shane Fedigan
- Credential
- BCBA, LBA-CT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 802 Federal RD, Brookfield, CT 06804-4008
- Phone Number
- 203-794-2523
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 21, 2025
- Last Update Date
- March 21, 2025
- Certification Date
- March 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 802 Federal RD
Brookfield, CT 06804-4008 - City
- Brookfield
- State
- Connecticut
- Zip
- 06804-4008
- Phone Number
- 203-794-2523
Provider Business Mailing Address Details
- Address
- 30 Reynolds Farm RD
New Milford, CT 06776-3865 - City
- New Milford
- State
- CT
- Zip
- 06776-3865
- Phone Number
- 203-794-2523
License Information
- License Number
- 2086
- License State
- CT
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Shane Fedigan, BCBA, LBA-CT?
The NPI number of Shane Fedigan, BCBA, LBA-CT is 1396546859. It was assigned on March 21, 2025 and is currently active in the NPPES registry.
What is the specialty of Shane Fedigan, BCBA, LBA-CT?
Shane Fedigan, BCBA, LBA-CT is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in CT under license number 2086.
Where does Shane Fedigan, BCBA, LBA-CT practice?
The practice location is 802 Federal RD, Brookfield, CT 06804-4008. The office can be reached at 203-794-2523 (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 1396546859 directly on the NPPES registry website.