Healthcare Provider Details
I. General information
NPI: 1447795067
Provider Name (Legal Business Name): A BRAND NEW DAY ABA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/05/2017
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1842 MERIDEN WTBY TPKE
MILLDALE CT
06467-6509
US
IV. Provider business mailing address
PO BOX 333
WOODBURY CT
06798-0333
US
V. Phone/Fax
- Phone: 203-313-5537
- Fax: 203-242-8098
- Phone: 203-313-5537
- Fax: 203-242-8098
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-16-24354 |
| License Number State | NULL |
VIII. Authorized Official
Name:
ANNA
THOMPSON
Title or Position: OWNER
Credential: BCBA
Phone: 203-313-5537