Provider Demographics
NPI:1124173315
Name:REGIONAL DISTRICT 11
Entity type:Organization
Organization Name:REGIONAL DISTRICT 11
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOURNIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-455-9962
Mailing Address - Street 1:304 PARISH HILL RD
Mailing Address - Street 2:PO BOX 277
Mailing Address - City:CHAPLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06235-2724
Mailing Address - Country:US
Mailing Address - Phone:860-455-9962
Mailing Address - Fax:860-455-1342
Practice Address - Street 1:304 PARISH HILL RD
Practice Address - Street 2:
Practice Address - City:CHAPLIN
Practice Address - State:CT
Practice Address - Zip Code:06235-2724
Practice Address - Country:US
Practice Address - Phone:860-455-9962
Practice Address - Fax:860-455-1342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
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)