Healthcare Provider Details

I. General information

NPI: 1255257960
Provider Name (Legal Business Name): SOLARA ABA CT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BANK ST STE 307
SEYMOUR CT
06483-2806
US

IV. Provider business mailing address

100 BANK ST STE 307
SEYMOUR CT
06483-2806
US

V. Phone/Fax

Practice location:
  • Phone: 833-577-7222
  • Fax:
Mailing address:
  • Phone: 833-577-7222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DON FOSTER
Title or Position: PARTNER
Credential:
Phone: 516-218-6166