Provider Demographics
NPI:1801957899
Name:ANSONIA PUBLIC SCHOOL DISTRICT, ANSONIA BOARD OF EDUCATION
Entity type:Organization
Organization Name:ANSONIA PUBLIC SCHOOL DISTRICT, ANSONIA BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ED
Authorized Official - Middle Name:
Authorized Official - Last Name:FAVOLISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-736-5095
Mailing Address - Street 1:42 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401-1753
Mailing Address - Country:US
Mailing Address - Phone:203-736-5095
Mailing Address - Fax:203-736-5098
Practice Address - Street 1:42 GROVE ST
Practice Address - Street 2:
Practice Address - City:ANSONIA
Practice Address - State:CT
Practice Address - Zip Code:06401-1753
Practice Address - Country:US
Practice Address - Phone:203-736-5095
Practice Address - Fax:203-736-5098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)