Denae Justine Gustafson

Behavior Analyst · Cromwell, CT

Individual Active NPI

NPI number 1003331471

Practice location

110 Court St Ste 3
Cromwell, CT 06416-1273
Phone
(860) 613-9930

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NPI record

NPI
1003331471
Entity type
Individual (Type 1)
Enumeration date
August 7, 2017
Last updated
May 19, 2023
Certified
May 19, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-18-29820 CT
Behavior Analyst 103K00000X 567 CT
Developmental Therapist 222Q00000X — —

About Denae Gustafson

Denae Justine Gustafson is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 110 Court St Ste 3, Cromwell, CT 06416-1273. The NPI number 1003331471 was assigned on August 7, 2017 and the record was last updated on May 19, 2023.

Denae Gustafson lists 2 licenses in the registry: #1-18-29820 (CT) for Behavior Analyst; #567 (CT) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Denae Justine Gustafson?

The NPI number is 1003331471.

What is the phone number of Denae Gustafson?

The phone number listed for the practice location is (860) 613-9930.

Where is Denae Gustafson located?

110 Court St Ste 3, Cromwell, CT 06416-1273.

What is the taxonomy code for Denae Gustafson?

The primary taxonomy code is 103K00000X – Behavior Analyst; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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