Healthcare Provider Details

I. General information

NPI: 1881598829
Provider Name (Legal Business Name): COLETTE WARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 BELDEN AVE 4TH FLOOR
NORWALK CT
06850
US

IV. Provider business mailing address

437 ORCHARD HILL LN
FAIRFIELD CT
06824-7344
US

V. Phone/Fax

Practice location:
  • Phone: 203-772-8161
  • Fax: 203-580-8319
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: