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NPI Code Detail

MEDICARE: CASEY COTZIN-ESPOSITO LBA, BCBA

MEDICARE: CASEY COTZIN-ESPOSITO LBA, BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst2296CT

General Provider Information

NPI Number : 1790497337
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASEY COTZIN-ESPOSITO LBA, BCBA
Provider Business Mailing Address
First Line : 77 HARTLAND ST STE 108
Second Line :
City : EAST HARTFORD
State : CT
Zip : 06108-3259
Country : US
Telephone Number : 888-754-0398
Fax Number :
Provider Business Practice Location Address
First Line : 77 HARTLAND ST STE 108
Second Line :
City : EAST HARTFORD
State : CT
Zip : 06108-3259
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2022
Last Update Date : 04/17/2026

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