Provider Demographics
NPI:1891572426
Name:DUARTE-CANAHUI, JOCELYN CESILIA (BCBA, LBA,)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:CESILIA
Last Name:DUARTE-CANAHUI
Suffix:
Gender:F
Credentials:BCBA, LBA,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06855-1013
Mailing Address - Country:US
Mailing Address - Phone:203-505-8842
Mailing Address - Fax:
Practice Address - Street 1:588 NAUGATUCK AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06461-4059
Practice Address - Country:US
Practice Address - Phone:203-410-6452
Practice Address - Fax:203-874-1652
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1750103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst