Healthcare Provider Details

I. General information

NPI: 1801712724
Provider Name (Legal Business Name): CASSANDRA LAUDANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASSIE LAUDANO

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

476R THAMES ST
GROTON CT
06340-3934
US

IV. Provider business mailing address

11 STONEHEIGHTS DR
WATERFORD CT
06385-1935
US

V. Phone/Fax

Practice location:
  • Phone: 860-603-2243
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-196334
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: