Provider Demographics
NPI:1659667020
Name:SIMPSON-WATT, ALISHA LYNN (LCSW, BCBA, LBA)
Entity Type:Individual
Prefix:MS
First Name:ALISHA
Middle Name:LYNN
Last Name:SIMPSON-WATT
Suffix:
Gender:F
Credentials:LCSW, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 SAYBROOK RD UNIT B4
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-4739
Mailing Address - Country:US
Mailing Address - Phone:860-740-2547
Mailing Address - Fax:860-421-4053
Practice Address - Street 1:770 SAYBROOK RD UNIT B4
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-4739
Practice Address - Country:US
Practice Address - Phone:860-740-2547
Practice Address - Fax:860-421-4053
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst