Healthcare Provider Details

I. General information

NPI: 1003732264
Provider Name (Legal Business Name): REACH HIGHER HEIGHTS CT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 COLONY RD
NEW HAVEN CT
06511-1680
US

IV. Provider business mailing address

183 COLONY RD
NEW HAVEN CT
06511-1680
US

V. Phone/Fax

Practice location:
  • Phone: 347-351-4590
  • Fax:
Mailing address:
  • Phone: 347-351-4590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: CHAYA GROSSMAN
Title or Position: OWNER
Credential:
Phone: 347-351-4590