Healthcare Provider Details
I. General information
NPI: 1003573973
Provider Name (Legal Business Name): ALL TOGETHER LICENSED BEHAVIOR ANALYST PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/26/2021
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
70 NORTH ST
DANBURY CT
06810-5609
US
IV. Provider business mailing address
7 JEFFERSON DR
NEW MILFORD CT
06776-3931
US
V. Phone/Fax
- Phone: 203-317-9315
- Fax:
- Phone: 203-317-9315
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
D
PANNOZZO
Title or Position: OWNER
Credential: BCBA
Phone: 203-317-9315