Healthcare Provider Details
I. General information
NPI: 1508755745
Provider Name (Legal Business Name): FACE TO FACE ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2025
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
41 WOLFPIT AVE APT 11H
NORWALK CT
06851-4242
US
IV. Provider business mailing address
95 MORGAN ST APT 11C
STAMFORD CT
06905-5484
US
V. Phone/Fax
- Phone: 203-981-5213
- Fax:
- Phone: 203-981-5213
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROXANNE
M
DOWE
Title or Position: CEO
Credential: BCBA
Phone: 203-981-5213