Provider Demographics
NPI:1194488940
Name:SCHWARTZ, KAITLYN (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:KAITLYN
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 GOOD HILL RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06478-1559
Mailing Address - Country:US
Mailing Address - Phone:203-592-1770
Mailing Address - Fax:
Practice Address - Street 1:100 MILL PLAIN RD STE 1C
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-5178
Practice Address - Country:US
Practice Address - Phone:203-762-6425
Practice Address - Fax:203-210-7126
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
CT1316103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst