Active NPIIndividual provider

Coleen E Brakenwagen

Assistant Behavior Analyst in Putnam, Connecticut

NPI Number1972171197
Practice location
62 Providence Pike Ste E, Putnam, CT 06260-2415
Fax
—
Last updated
June 14, 2021

Coleen E Brakenwagen is an Assistant Behavior Analyst based in Putnam, CT. Coleen E Brakenwagen practices in Putnam, CT. The NPI Number for Coleen E Brakenwagen is 1972171197. The current practice location address for Coleen E Brakenwagen 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
1972171197
Provider Name
Coleen E Brakenwagen
Provider Entity Type
Individual
Gender
Female
Address
62 Providence Pike Ste E, Putnam, CT 06260-2415
Phone Number
888-805-0759
Primary Taxonomy
Assistant Behavior Analyst · 106E00000X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2021
Last Update Date
June 14, 2021
Certification Date
June 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Providence Pike Ste E
Putnam, CT 06260-2415
City
Putnam
Zip
06260-2415
Phone Number
888-805-0759
Putnam, CT 06260Get directions →

Provider Business Mailing Address Details

Address
166 Halls Hill RD
Danielson, CT 06239-3319
City
Danielson
State
CT
Zip
06239-3319
Phone Number
860-608-8088

License Information

Taxonomy
Assistant Behavior Analyst · 106E00000X · 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 Coleen E Brakenwagen?

The NPI number of Coleen E Brakenwagen is 1972171197. It was assigned on June 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Coleen E Brakenwagen?

Coleen E Brakenwagen is registered under the primary taxonomy Assistant Behavior Analyst (code 106E00000X).

Where does Coleen E Brakenwagen 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 1972171197 directly on the NPPES registry website.

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