Provider Demographics
| NPI: | 1356480339 |
|---|---|
| Name: | REGIONAL SCHOOL DISTRICT #19 |
| Entity type: | Organization |
| Organization Name: | REGIONAL SCHOOL DISTRICT #19 |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DIRECTOR SPECIAL SERVICES |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | DEBRA |
| Authorized Official - Middle Name: | B |
| Authorized Official - Last Name: | HULTGREN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 860-429-7739 |
| Mailing Address - Street 1: | 1235 STORRS RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | STORRS MANSFIELD |
| Mailing Address - State: | CT |
| Mailing Address - Zip Code: | 06268-2244 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 860-487-0877 |
| Mailing Address - Fax: | 860-429-0085 |
| Practice Address - Street 1: | 1235 STORRS RD |
| Practice Address - Street 2: | |
| Practice Address - City: | STORRS MANSFIELD |
| Practice Address - State: | CT |
| Practice Address - Zip Code: | 06268-2244 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 860-487-0877 |
| Practice Address - Fax: | 860-429-0085 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-02-06 |
| Last Update Date: | 2020-08-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CT | 251300000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251300000X | Agencies | Local Education Agency (LEA) |