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Dr. Keisha Powell, PHD,CAS,ABS,ATS
Specialist in Broad Brook, Connecticut
NPI 1831519016

Keisha Powell is a Specialist based in Broad Brook, CT. Keisha Powell practices in Broad Brook, CT and has the professional credentials of PHD,CAS,ABS,ATS. The NPI Number for Keisha Powell is 1831519016 and holds a License No. C072017000387 (Connecticut).

The current practice location address for Keisha Powell is 3 Jessie Ln, Broad Brook, CT and can be reached out via phone at 860-983-8112.

Location: 3 Jessie Ln, Broad Brook, CT, 06016-9596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831519016
Provider Name
Keisha Powell
Credential
PHD,CAS,ABS,ATS
Provider Entity Type
Individual
Gender
Female
Address
3 Jessie Ln, Broad Brook, CT, 06016-9596
Phone Number
860-983-8112
Fax Number
Provider Enumeration Date
04/25/2014
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0080-96340 05 CT
23907 01 FL BOARD CERTIFIED SEXOLOGIST
CAS176247 01 FL CERTIFIED AUTISM SPECIALIST
C072017000387 01 CT SPECIAL EDUCATION-AUTISM
institution
Provider Business Practice Location Address Details
Address
3 Jessie Ln
City
Broad Brook
State
Connecticut
Zip
06016-9596
Phone Number
860-983-8112
Fax Number
person
Provider Business Mailing Address Details
Address
3 Jessie Ln
City
Broad Brook
State
Connecticut
Zip
06016-9596
Phone Number
860-983-8112
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
103K00000X
License No.
CAS176247 (Florida)
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C072017000387 (Connecticut)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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