Provider Demographics
NPI:1891159893
Name:QUADRATO, HEATHER LAURA (MED, BCBA, LBA)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:LAURA
Last Name:QUADRATO
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Gender:F
Credentials:MED, BCBA, LBA
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Mailing Address - Street 1:162 WEST ST
Mailing Address - Street 2:BUILDING 2, SUITE F
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-4404
Mailing Address - Country:US
Mailing Address - Phone:860-613-9930
Mailing Address - Fax:860-613-9952
Practice Address - Street 1:162 WEST ST
Practice Address - Street 2:BUILDING 2, SUITE F
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-4404
Practice Address - Country:US
Practice Address - Phone:860-613-9930
Practice Address - Fax:860-613-9952
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
103K00000X
CT216103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst