Ccsn Behavioral Health, LLC

NPI #1144767286 in Glastonbury, Connecticut

Provider Information

NPI Number: 1144767286
Entity Type: Organization
Organization Name: Ccsn Behavioral Health, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: THE CENTER FOR CHILDREN WITH SPECIAL NEEDS, LLC
Primary Specialty: Psychologist - Intellectual & Developmental Disabilities
Enumeration Date: Jan 27, 2017
Last Updated: Jan 27, 2017

Practice Location

Address: 2300 MAIN ST
City: Glastonbury
State: Connecticut
ZIP Code: 06033-2218
Phone: (860) 430-1762

Authorized Official

Name: DR. MICHAEL D POWERS, PSYD
Title: EXECUTIVE DIRECTOR
Phone: (860) 430-1762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X	Primary

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