Healthcare Provider Details

I. General information

NPI: 1124745583
Provider Name (Legal Business Name): KRISTIANA BEHO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2022
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FOREST PARK DR
FARMINGTON CT
06032-1499
US

IV. Provider business mailing address

3 BARRY PL
ROCKY HILL CT
06067-1201
US

V. Phone/Fax

Practice location:
  • Phone: 860-410-6168
  • Fax:
Mailing address:
  • Phone: 860-424-1723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13493
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: