Bevilacqua, Patricia A

Bevilacqua, Patricia A is an sole proprietor health care provider with primary practice located at 32 Gerdes Rd , New Canaan CT 06840-6708. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Bevilacqua, Patricia A can be contacted via phone (914) 469-6243.

Contact Information

Primary practice address
32 Gerdes Rd New Canaan CT 06840-6708
Phone: (914) 469-6243
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1275 Connecticut
Behavioral Health & Social Service Providers / School 103TS0200X 088722877 New York

Profile Details

NPI number 1811366347
LBN Legal business name Bevilacqua, Patricia A
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2015
Last updated Sep 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811366347 NPPES
Connecticut Other 1275 LICENSE
Connecticut Other 471725852 LICENSE
Connecticut Other 1275 LICENSE

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