Healthcare Provider Details
I. General information
NPI: 1063337780
Provider Name (Legal Business Name): EARLY START AUTISM SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
187 LOVERS LN UNIT 46
TORRINGTON CT
06790-4362
US
IV. Provider business mailing address
187 LOVERS LN UNIT 46
TORRINGTON CT
06790-4362
US
V. Phone/Fax
- Phone: 860-480-3227
- Fax:
- Phone: 860-480-3227
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAMANTHA
HUNTER
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: M.A, BCBA, LBA
Phone: 860-480-3227