Breanna M Bostick
Behavior Technician in Willimantic, Connecticut
1568397396- Practice location
- 112 West Ave, Willimantic, CT 06226-1919
- Phone
- 860-303-2701
- Fax
- —
- Last updated
- June 15, 2026
Breanna Mona Bostick is a Behavior Technician based in Willimantic, CT. Breanna Mona Bostick practices in Willimantic, CT. The NPI Number for Breanna Mona Bostick is 1568397396. The current practice location address for Breanna Mona Bostick is 112 West Ave, Willimantic, CT 06226-1919 and can be reached out via phone at 860-303-2701.
Provider Profile Details
- NPI Number
- 1568397396
- Provider Name
- Breanna Mona Bostick
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 112 West Ave, Willimantic, CT 06226-1919
- Phone Number
- 860-303-2701
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 15, 2026
- Last Update Date
- June 15, 2026
- Certification Date
- June 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 112 West Ave
Willimantic, CT 06226-1919 - City
- Willimantic
- State
- Connecticut
- Zip
- 06226-1919
- Phone Number
- 860-303-2701
Provider Business Mailing Address Details
- Address
- 112 West Ave
Willimantic, CT 06226-1919 - City
- Willimantic
- State
- CT
- Zip
- 06226-1919
- Phone Number
- 860-303-2701
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. | |||
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- Ms. Marlene M Dolat, APRNNurse Practitioner, Psych/Mental Health · NPI 1255600326
- Center For Mental Wellness PLLCClinic/Center, Mental Health (Including Community Mental Health Center) · NPI 1336953439
- Mr. Igor C Espittia, LRSWSocial Worker, Clinical · NPI 1437156148
Frequently Asked Questions
What is the NPI number of Breanna M Bostick?
The NPI number of Breanna M Bostick is 1568397396. It was assigned on June 15, 2026 and is currently active in the NPPES registry.
What is the specialty of Breanna M Bostick?
Breanna M Bostick is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Breanna M Bostick practice?
The practice location is 112 West Ave, Willimantic, CT 06226-1919. The office can be reached at 860-303-2701 (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 1568397396 directly on the NPPES registry website.