Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLEEN E BRAKENWAGEN
ActiveCOLEEN E BRAKENWAGEN is a Assistant Behavior Analyst healthcare provider located in PUTNAM, Connecticut. NPI 1972171197 is currently active in the NPPES registry. Verify at CMS.
Assistant Behavior Analyst · PUTNAM, CT
Registration Details
- NPI Number
- 1972171197
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2021 (5.1483117429139 yrs)
- Last Updated
- Jun 14, 2021
Practice Information
- Address
-
62 PROVIDENCE PIKE STE EPUTNAM, CT, 062602415Browse CT providers · Browse ZIP 06260
- Phone
- 8888050759
- Primary Specialty
-
Assistant Behavior Analyst
106E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.