Healthcare Provider Details

I. General information

NPI: 1730856634
Provider Name (Legal Business Name): ONEWELL OF CONNECTICUT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2021
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 OREGON PIKE
LANCASTER PA
17601-4604
US

IV. Provider business mailing address

2141 OREGON PIKE
LANCASTER PA
17601-4604
US

V. Phone/Fax

Practice location:
  • Phone: 717-808-6179
  • Fax:
Mailing address:
  • Phone: 717-808-6179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: TIFFANY JUDGE
Title or Position: VP OF REGULATORY AFFAIRS AND CONTRA
Credential:
Phone: 717-598-2871