Healthcare Provider Details

I. General information

NPI: 1649174699
Provider Name (Legal Business Name): BRITTANY ANN MAGGI BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

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

34 MAPLE AVE FL 2
WINDSOR CT
06095-2922
US

IV. Provider business mailing address

34 MAPLE AVE FL 2
WINDSOR CT
06095-2922
US

V. Phone/Fax

Practice location:
  • Phone: 860-707-8516
  • Fax:
Mailing address:
  • Phone: 860-707-8516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2404
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: