SPECIALIZED EDUCATION OF CONNECTICUT INC. (NPI# 1043791874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043791874 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED EDUCATION OF CONNECTICUT INC. |
| Practice Address |
5 Barnes Industrial Rd S Wallingford CT 06492-2431 |
| Mailing Address |
2 Aquarium Dr Ste 100 Camden NJ 08103-1085 |
| Practice Telephone | 2032840441 |
| Practice Fax Number | 2037745716 |
| Mailing Telephone | 8562833456 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | LIZA WOLF (CORPORATE SECRETARY) |
| Authorized Official Telephone | 8562833456 |
| Authorized Official Credential | AO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
5 BARNES INDUSTRIAL RD S |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841841806 | Sharon Garcia Hodgdon | Behavioral Analyst | 5 Barnes Industrial Rd S, Wallingford, CT 06492-2431 | 2019-09-21 |
| 1447733803 | Kyli Marshall Jones | Social Worker | 5 Barnes Industrial Rd S, Wallingford, CT 06492-2431 | 2018-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487155560 | Integrated Aba | Clinic/Center | 54 Mountain View Ave, Avon, CT 06001-3812 | 2018-02-23 |
| 1598999773 | Full Spectrum Therapeutics LLC | Clinic/Center | 4 Summit Rd, Suite C, Prospect, CT 06712-1485 | 2009-05-04 |
| City | WALLINGFORD |
| Zip Code | 06492 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.