Cusack, Ariana Marie

Cusack, Ariana Marie is an individual health care provider with primary practice located at 385 Main St S , Southbury CT 06488-4240. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Cusack, Ariana Marie can be contacted via phone (203) 693-4543.

Contact Information

Primary practice address
385 Main St S Southbury CT 06488-4240
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-27651 Connecticut

Profile Details

NPI number 1821507229
LBN Legal business name Cusack, Ariana Marie
Credentials M.S., BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2017
Last updated Sep 28th, 2017 - about 8 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 1821507229 NPPES
Connecticut MEDICAID 1-17-27651

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