autism services phone number 877-552-8247 autism … · autism spectrum disorders services provider...

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Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options ® Connecticut Autism Services Phone Number 877-552-8247 Autism Services Fax Number 855-901-2493 1 REVISED 05/03/2018 ASD Enrolled Medicaid Providers Contact Name Contact Information Address Areas Served Services Diagnostic Evaluation Behavioral Assessment Treatment Plan Direct Intervention A Brand New Day ABA Svcs LLC, BCBA & LCSW Groups Anna Reinhardt, BCBA Heather Martin, BCBA Ingo Bergsteinsson, BCBA Sophy Brocke-BCBA 203-313-5537 58 Pomperaug Rd. Woodbury CT Farmington; New Britain; Waterbury; Litchfield X X X A PIECE OF THE PUZZLE BEHAVIORAL INTERVENTIONS LLC BCBA & LMFT Groups Amy Lavoie, BCBA Amanda Marrotte, LMFT Natalie Brown, LPC Lisa Colbert, BCBA Melissa Fiaccone, BCBA 860-310-7113 1100 New Britain Ave. Ste. 105 West Hartford, CT Hartford, New Britain, Plainville X X X Able Home Health Care, LLC Elizabeth Zeppernick, BCBA Joseph Pannozzo,BCBA Patricia George, BCBA Sandra Trevino, LCSW Heather Bullock, BCBA Ellen Youman-Karl, BCBA Danielle Cassano, BCBA Michael Toto, BCBA Laura Kohley, LCSW Rona Levine, BCBA Jennifer Boucher, BCBA Laurabeth Nickerson, BCBA 203-529-5123 16 Taylor Place, Westport CT 06880 Statewide, dependent on staffing X X X X Achieve Beyond Inc. Joy Brewster, BCBA Maria V. Kotova, BCBA Beth H. Kennedy, BCBA Brittany Beaver, BCBA 718-762-7633 157 Church Street, 19 th Floor, New Haven, CT New Haven X X X

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Page 1: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

1 REVISED 05/03/2018

ASD Enrolled Medicaid Providers

Contact Name Contact

Information Address

Areas Served

Services Diagnostic Evaluation

Behavioral Assessment

Treatment Plan

Direct Intervention

A Brand New Day ABA Svcs LLC, BCBA & LCSW Groups

Anna Reinhardt, BCBA Heather Martin, BCBA

Ingo Bergsteinsson, BCBA Sophy Brocke-BCBA

203-313-5537 58 Pomperaug Rd. Woodbury CT

Farmington; New Britain; Waterbury; Litchfield

X X X

A PIECE OF THE PUZZLE BEHAVIORAL INTERVENTIONS LLC – BCBA & LMFT Groups

Amy Lavoie, BCBA

Amanda Marrotte, LMFT Natalie Brown, LPC Lisa Colbert, BCBA

Melissa Fiaccone, BCBA

860-310-7113 1100 New Britain Ave. Ste. 105 West Hartford, CT

Hartford, New Britain,

Plainville X X X

Able Home Health Care, LLC

Elizabeth Zeppernick, BCBA

Joseph Pannozzo,BCBA Patricia George, BCBA Sandra Trevino, LCSW Heather Bullock, BCBA

Ellen Youman-Karl, BCBA Danielle Cassano, BCBA

Michael Toto, BCBA Laura Kohley, LCSW Rona Levine, BCBA

Jennifer Boucher, BCBA Laurabeth Nickerson, BCBA

203-529-5123 16 Taylor Place, Westport CT 06880

Statewide, dependent on staffing

X X X X

Achieve Beyond Inc.

Joy Brewster, BCBA

Maria V. Kotova, BCBA Beth H. Kennedy, BCBA Brittany Beaver, BCBA

718-762-7633 157 Church Street, 19th Floor, New Haven, CT

New Haven X X X

Page 2: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

2 REVISED 05/03/2018

ASD Enrolled Medicaid Providers

Contact Name Contact

Information Address

Areas Served

Services Diagnostic Evaluation

Behavioral Assessment

Treatment Plan

Direct Intervention

Adelbrook Community Services Inc.

Shannone Pettie, LCSW

Brian Heslin, BCBA Sherry Crossley, BCBA

860-635-6010 X328

58 Missionary Road, Cromwell, CT

Middlesex,

Tolland, and New London

Counties, dependent on staffing

X X X X

Advanced Psychological Services, LLC Eneida Silva, Ph.D 860-604-9268

384P Merrow Road, Tolland, CT and 117 East Center St, Manchester, CT

In office X

Advanced Therapy Solutions, BCBA Group

Elizabeth DeLauna, BCBA 860-721-9999 465 Silas Deane Highway, Wethersfield CT

X X X

Ajit Doolabh, BCBA Individual Practitioner

Ajit Doolabh, BCBA 203-233-1211 45 Brittania Dr. Danbury CT

Danbury; Fairfield county

Norwalk to Bridgeport; Waterbury; Watertown

X X X

All Point Care LLC-BCBA GRP

Tabbetha Rivers, BCBA Michele Patrick, BCBA Jeanne Mello, BCBA

Alicia Albertson, LCSW Christine Lamas, BCBA Angel Kennedy, BCBA

Jacquelyn Rosado, BCBA

203-250-1900

675 W. Johnson Avenue, Cheshire, CT

Terryville, Cheshire,

New Britain, Meriden,

Waterbury

X X X

Page 3: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

3 REVISED 05/03/2018

ASD Enrolled Medicaid Providers

Contact Name Contact

Information Address

Areas Served

Services Diagnostic Evaluation

Behavioral Assessment

Treatment Plan

Direct Intervention

Alternative Services-Connecticut, Inc. (ASI)

Eugenia Mullenix, BCBA

860-942-8270, x 22

84 Linwood Avenue, Colchester, CT

Middlesex, Hartford,

Tolland and New London

Counties, dependent on staffing

X

X

X

Alyssa Chouinard, BCBA – Individual Practitioner

Alyssa Chouinard, BCBA 203-725-2279 Watertown, CT

Litchfield,

New Haven and Fairfield

Counties

X X X

American School for The Deaf-LPC Group

Karen Chekas, LPC Bonnie Nicol, LPC Karen Wilson, LPC

860-570-2226 139 N Main St., West Hartford CT

Hartford County

X X X

Anchor ABA LLC

Morgan Cates, BCBA Jessica Uzonyi, BCBA

410-271-1380

28 Daisy Hill Rd, Oakdale, CT

X X X

Applied Behavior Analysis Svcs of CT

Kristine Brewer, BCBA Marina Azimova, BCBA

860-933-5751

81 Brookfield St Manchester, CT

Hartford County; Tolland;

Windham County; Parts of

Middlesex; Manchester

X X X

Page 4: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

4 REVISED 05/03/2018

ASD Enrolled Medicaid Providers

Contact Name Contact

Information Address

Areas Served

Services Diagnostic Evaluation

Behavioral Assessment

Treatment Plan

Direct Intervention

Area Cooperative EDU Services (ACES) - BCBA Group

Suzanne Claiborne, BCBA 818-993-2757 350 State St. North Haven CT

X X X

ASD Support Services LLC-LCSW/LPC Grp

Christopher Carlin, LCSW

860-532-0604 415 Killingworth Rd, Ste9, Higganum, CT

X X X

Autism Behavioral Health-BCBA and LPC Groups

Jessie Wong, BCBA Linda C Hatcher, BCBA

Ron Chance, LPC Carly Polection, BCBA

203-429-5318

7 Old Sherman Tpke, STE 200, Danbury, CT, 06810-4174

Litchfield,

New Haven and Fairfield

Counties dependent on staffing

X X X

Autism Behavioral Health and Learning Experience

Roseann Bonatakis, BCBA Kate Brownhill, BCBA

413-246-2691 542 Hopemeadow St #129., Simsbury, CT

Enfield; Granby;

Simsbury; Avon;

Broadbrook

X X X

Autism Learning Partners-BCBA Group Tammy Lago-Jackson, BCBA

Kelly Carvalho, BCBA 855-295-3276

1022 BOULEVARD, West Hartford, CT

X X X

Balance Behavioral Health LLC 305-495-7230 20 Audi Lane Stratford, CT

Page 5: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

5 REVISED 05/03/2018

ASD Enrolled Medicaid Providers

Contact Name Contact

Information Address

Areas Served

Services Diagnostic Evaluation

Behavioral Assessment

Treatment Plan

Direct Intervention

Behavioral Education Assessment & Consultation (BEACON Services – CT)-BCBA and LCSW Groups

Kaitlin Cormier, BCBA Julie Marshall, BCBA Emily Harris, BCBA

Heather Mauriello, BCBA Amie Hahn, BCBA

Robin Messier, BCBA Nicole Crespo, BCBA Breianna Reid, BCBA

Regina Symons, BCBA Kara Reagon, BCBA Laura Lasso, BCBA

Sarah Ossowsk, BCBA Ashley Cegelka, BCBA

Nina Hayes, BCBA Melissa Gill, BCBA

508-473-3422 321 Fortune Blvd, Suite 202 Milford, MA

Statewide X X X

Behavioral Health Consulting Services, LLC

Diane Tobin, LPC

860-673-0145, x 701

322 Main Street, Suite 1-G, Willimantic; 530 Middlebury Road, Suite 103B, Middlebury; 46 West Avon Road, Suite 202, Avon and Hartford

Statewide dependent on staffing

X X X X

Page 6: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

6 REVISED 05/03/2018

ASD Enrolled Medicaid Providers

Contact Name Contact

Information Address

Areas Served

Services Diagnostic Evaluation

Behavioral Assessment

Treatment Plan

Direct Intervention

Benhaven Children’s Behavioral Services. - BCBA Group

Arlene D. Kaye, BCBA Aimee Petremont, BCBA

Julia Ferrelli, BCBA Leanna Hartnack, BCBA Catherine Mollengarden,

BCBA Caitlin Wilson, BCBA

203-234-8454 X307

187 Half Mile Rd, North Haven CT

Hamden,

West Haven, Milford,

North Haven, Orange, Ansonia, Derby,

Shelton, Seymour,

Naugatuck, Prospect,

Wallingford, Bethany,

Woodbridge, Cheshire

X X X

Bina Roginsky, PhD – Individual Practitioner

Bina Roginsky, Ph.D 203-848-7590 21 Hazel Terrace, Suite B, Woodbridge, CT

In office X

Bloom Behavior & Consulting Services-BCBA GRP

Lela Smith, BCBA Michelle Martinez, BCBA

Katherine Oblinsky, BCBA Morgan Siniscalco, BCBA

Ashley Alkema, BCBA Adriana Fox, BCBA

Allison E. Disch, BCBA

860-917-0923 85 Stoneheights Drive, Waterford, CT

X X X

Page 7: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

7 REVISED 05/03/2018

ASD Enrolled Medicaid Providers

Contact Name Contact

Information Address

Areas Served

Services Diagnostic Evaluation

Behavioral Assessment

Treatment Plan

Direct Intervention

CCSN Behavioral Health LLC

Courtney Cotter, PHD Heather Flynn, PHD Mark Palmieri, PHD

Marina Torresviso, PHD Tina Newman, PHD Cara Barbierri, PHD

Shaunessy Egan, BCBA Elizabeth Nulty, BCBA - D

860-430-1762 2300 Main St. Glastonbury CT

In office X X X

Charlotte Hungerford Hospital-BCBA Group

Salli Shon, BCBA 860-469-6729 540 Litchfield St. Torrington

X X X

Child Guidance Center of SE CT-Clinic

Scheduler 203-324-6127

103 W. Broad Street, Stamford, CT

Stamford X

Clifford W. Beers Guidance Clinic

Kaitlyn Fenner, LCSW 203-772-1270 ext1261; 203-

691-9383

93 Edwards Street, New Haven, CT; 41 Marne St, Hamden

In office X

Comkey Therapy LLC-LCSW Grp

Miriam A. Leslie, LCSW

800-994-1031

609 Farmington Avenue, LL1, Hartford, CT

Hartford County

X X X

Connecticut Behavioral Health, LLC Ryan Loss, Ph.D

Meredith Keller, BCBA Indrani Bagchi, BCBA

203-271-1430 673 South Main Street, Cheshire, CT

New Haven,

Hartford Middlesex and New London

Counties, dependent on staffing

X X X X

Page 8: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

8 REVISED 05/03/2018

ASD Enrolled Medicaid Providers

Contact Name Contact

Information Address

Areas Served

Services Diagnostic Evaluation

Behavioral Assessment

Treatment Plan

Direct Intervention

Connecticut Behavioral Health Consultants LLC-BCBA Grp

Jenna Waz, BCBA 860-316-5905 42 Valley View Drive, Middlefield, CT

X X X X

Connecticut Children’s Specialty Group (CCMC)

Thyde Dumont-Mathieu, DBP

Mark A. Greenstein, DBP Ann Milanese, DBP

Sarah Schlegel, DBP

860-837-5615 282 Washington Avenue, Hartford, CT

In office X

Connecticut Institute for the Blind-Oak Hill, BCBA Grp

John Erickson, BCBA 860-242-2274 120 Holcomb Street, Hartford, CT

Hartford County

X X X

Connect to Talk LLC, BCBA GRP

Abigail D. Dunn, BCBA Ashleigh O’Dell, BCBA

Lauren Dannenberg, BCBA Brittany Tyler-Ginsberg,

BCBA Nicole Haferl, BCBA

Amanda McKiernan, BCBA

203-210-7124

145 Durham Rd, Ste. 9, Madison CT

X X X

Creative Potential, LLC Mary Thompson, BCBA

Irene Morsch, BCBA 860-961-7238

154 Hempstead Street, 1st Floor, New London, CT

Middlesex, New London

and Windham Counties

X X X

Cynthia West, BCBA

Cynthia West, BCBA

860-642-7379

4 Broadway Ave. Ext., #2C, Mystic

Hartford and New Haven

Counties

X X X

Page 9: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

9 REVISED 05/03/2018

ASD Enrolled Medicaid Providers

Contact Name Contact

Information Address

Areas Served

Services Diagnostic Evaluation

Behavioral Assessment

Treatment Plan

Direct Intervention

Davaa Uzii- BCBA/Solo Practitioner Davaa Uzii, BCBA 860-805-3288 24 Mill Street #141, Unionville, CT 06085

Litchfield and Hartford Counties

X X X

Education Connection-BCBA Grp

Elizabeth Delaune, BCBA 860-294-7473 157 Litchfield St., Torrington CT

X X X

Elizabeth Brown, BCBA – Individual Practitioner

Elizabeth Brown, BCBA 860-564-6100

303 Putnam Road, Wauregan, CT

Windham County

X X X

Fairfield Behavioral Health Ajit C. Doolabh, BCBA 203-233-1211 45 Brittania Drive, Danbury CT

X X X

Family Strong Connecticut

Sara Brown, LCSW Eric Koestner, BCBA Kara Garace, LCSW

Arthur Roy, LPC Tina Schappa, Ph.D Kerri Morris, Ph.D

Joanne Jacques, BCBA Sara Schuch, BCBA Jennifer Faith, LCSW Ariana Cusack, BCBA

203-693-4543 385 Main St South, Ste. 215, Southbury, CT

Danbury,

Brookfield, Newtown, Waterbury and New

Britain areas; Diagnostic Evaluations Statewide; Spanish

Speaking available in Southbury

and Stamford

X X X X

Page 10: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

10 REVISED 05/03/2018

ASD Enrolled Medicaid Providers

Contact Name Contact

Information Address

Areas Served

Services Diagnostic Evaluation

Behavioral Assessment

Treatment Plan

Direct Intervention

Family Wise LLC, BCBA Group Cynthia West, BCBA 860-642-7379

4 Broadway Avenue. Ext., #2C, Mystic, CT

X X X

Focus Center for Autism-BCBA/LCSW/APRN Grp **center based services only**

Carol Doiron, LCSW

Donna Swanson, APRN Daniel C. Sitcovsky, LCSW Maeghen P Harris, LCSW Sandra J. Kissel, APRN

860-693-8809 126 Dowd Ave, Canton CT

Center Based

Services ONLY Canton

X X X X

Gail Felice, BCBA -Individual Practitioner

Gail Felice, BCBA 718-866-6176

34 Woodlawn Street. Hamden, CT

X X X

Greenwich Education Group

Shannon Matthews, BCBA 203-661-1609 78 Hazard Avenue, Stamford, CT

Fairfield County

X X X

Growing Potential Services, Clnic Marcy Taliceo, LPC 860-698-6077 141 Hazard Avenue, Suites 2-6, Enfield, CT

Hartford,

Middlesex, Tolland, and

Windham Counties

X X X X

HARC Inc Kelly Harris, LCSW Vera Mason, LCSW

860-218-6056 900 Asylum Ave. Hartford CT

X X X X

Hilton Behavioral Therapy

Kimberly Hilton-Julien, BCBA 203-668-6681 40 Meadowbrook Rd., West Haven CT

West Haven X X X

Page 11: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

11 REVISED 05/03/2018

ASD Enrolled Medicaid Providers

Contact Name Contact

Information Address

Areas Served

Services Diagnostic Evaluation

Behavioral Assessment

Treatment Plan

Direct Intervention

Hospital for Special Care – ASD/PHD Group Outpatient Center

John P Pelegano, DBP

860-612-6386 370 Osgood Ave, New Britain

In office X

Innovative Autism Services – BCBA Group

Marcela Nunez, BCBA Kalilah Dyer, BCBA

Jacqueline Howard, BCBA Melissa Pinheiro, BCBA

860-351-5407 56 West Main St, Plainville X X X

Institute of Professional Practice Clinic – BCBA Group

Nichole Collins, BCBA Danielle Adams, BCBA

203-317-2700 538 Preston Avenue, Meriden, CT

X X X

Interlocking Connections, LLC Krista Kulpa, LPC

Carol Hanlon, BCBA 860-745-7144

707 Enfield Street, 1st Floor, Enfield, CT

Hartford and Tolland

Counties X X X

Janet Burke, BCBA – Spanish Speaking - Individual Practitioner

Janet Burke, BCBA 914-826-1125

50 Charterridge Drive Sandy Hook, CT

X X X X

Justin Tuttle, BCBA- Individual Practitioner

Justin Tuttle, BCBA 203-880-5472 23 Franklin St. Trumbull, CT

Bridgeport,

Trumbull and surrounding

towns

X X X

Kaitlyn Fenner-LCSW – Individual Practitioner

Kaitlyn Fenner, LCSW 860-614-4777 12 Phoenix St. Vernon, CT

Kristen Olbrych, BCBA – Individual Practitioner

Kristen Olbrych, BCBA 203-770-2737 25 Brookside Rd. Redding, CT

X X X

Page 12: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

12 REVISED 05/03/2018

ASD Enrolled Medicaid Providers

Contact Name Contact

Information Address

Areas Served

Services Diagnostic Evaluation

Behavioral Assessment

Treatment Plan

Direct Intervention

Linda Jordan Parker, PhD-Individual Linda Parker-Jordan, Ph.D 860-819-1088

11 Brace Rd. Somers, CT 06071-1420

In office X

Lindsey Malchow, BCBA – Individual Practitioner

Lindsey Malchow-BCBA 860-420-9253

60 Wood Pond Rd, Glastonbury, CT 06033

X X X

Manuel Rosales, PhD – Individual Practitioner

Manuel Rosales, Ph.D 203-336-3661 1057 Broad Street, Bridgeport, CT

In office X

Maureen Shea, LPC – Individual Practitioner

Maureen Shea, LPC 860-442-1133 868 Pequot Avenue, New London, CT

In office X

Optimized Autism Interventions LLC Audrey Gifford, BCBA 860-896-8335

15 N. River Road, Suite 3, Tolland, CT

Tolland County

X X X

Patrick Liddle, LPC – Individual Practitioner

Patrick Liddle, LPC 860-682-5231 144 Union Street, Deep River, CT

Middlesex

County

X

Patrick O’Leary-BCBA-Solo Practitioner

Patrick O’Leary, BCBA 203-228-8122

15 Eastwood Road, Madison CT

X X X

Patrick Russolillo, PhD – Individual Practitioner

Patrick Russolillo, Ph.D 860-344-9694 154 College Street, Middletown, CT

In office X

Page 13: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

13 REVISED 05/03/2018

ASD Enrolled Medicaid Providers

Contact Name Contact

Information Address

Areas Served

Services Diagnostic Evaluation

Behavioral Assessment

Treatment Plan

Direct Intervention

Paul Kozodoy, LCSW – Individual Practitioner

Paul Kozodoy, LCSW 203-530-2053 451 State Street, North Haven, CT

In office X

Quantum Behavioral Consulting-BCBA Group

Ashley Keane, BCBA 860-338-3130

163 Lead Mine Brook Rd, Harwinton, CT

X X X

Salli Shon LLC-BCBA Group Salli Shon, BCBA 860-508-2908 10 Mulberry Lane Avon, CT 06601

X X X X

Shoreline Center for Autism and Developmental Disorders

Harry Voulgarakis, BCBA Elizabeth Winebrenner,

BCBA

203-931-7977 [email protected]

377 Main Street, West Haven, CT

Fairfield, New Haven, Hartford, and

Middlesex Counties, dependent on staffing

X

X

X

South Bay Community Services Inc – BCBA Group

Leslie Furbush, BCBA Kelly Chapman, BCBA

Laura Nolda, LCSW Caitlin Coleman, BCBA

Ashley Houle, BCBA Diane M. Juzba, BCBA Sherry Crossley, BCBA

Stephanie Villeda, BCBA Amanda Bennett, BCBA Kimberly Frenette, BCBA

860-578-1300 237 Hamilton St., Ste. 205, Hartford CT

Central CT dependent on staffing

X X X

Page 14: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

14 REVISED 05/03/2018

ASD Enrolled Medicaid Providers

Contact Name Contact

Information Address

Areas Served

Services Diagnostic Evaluation

Behavioral Assessment

Treatment Plan

Direct Intervention

Strong Foundations

Aydrien Cathcart, BCBA Jennifer Faith, LCSW

Michelle Crossway, BCBA Angel Kennedy, BCBA

860-830-6481 53 Shenipsit Lake Road, Tolland, CT

Tolland and

Hartford Counties

X X X

Susan E. Dieterich, Ph.D LLC

Susan E. Dieterich, Ph.D 203-635-2622

64 Post Road West, Westport, CT 06880

X

Susan Jordan-BCBA

Susan Jordan, BCBA 845-897-2391 284 Crestwood Court, Fishkill, NY

X X X

Tammy Lago Jackson, BCBA – Individual Practitioner

Tammy Lago Jackson, BCBA 203-819-2025

150 Victoria Dr. Cheshire, CT

X X X

Thera Care of NY-BCBA/LCSW Grp Margaret Kluga, BCBA

Vanessa Aurilla Stultz, BCBA Ryan Williams, BCBA

212-564-2350 50 Washington St. Ste. 502, Norwalk

X X X

Trading Spaces ABA, LLC Glenroy Patterson, BCBA

Jenny Roberts-Weir, BCBA Stephanie L. Brault, BCBA

860-430-1340 437 Naubuc Avenue, Suite 105, Glastonbury, CT

Litchfield, Hartford,

New Haven and

Middlesex Counties

X X X

Page 15: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

15 REVISED 05/03/2018

ASD Enrolled Medicaid Providers

Contact Name Contact

Information Address

Areas Served

Services Diagnostic Evaluation

Behavioral Assessment

Treatment Plan

Direct Intervention

Trisha Sloan, LMFT – Individual Practitioner

Trisha Sloan, LMFT 860-986-0264 152 Deming Street, South Windsor, CT

Hartford County

X

United Services Inc. – Clinic Scheduler 860-774-2020 303 Putnam Road, Wauregan, CT

Windham County

X X X

Vantage Group Inc., BCBA Group

Mike Devine, BCBA

203-234-7737 29 N Plains Industrial HW, STE 15, Wallingford, CT, 06492

New Haven and Hartford

Counties

X X X

Wheeler Clinic Behavioral Health Scheduler 860-793-3588

91 Northwest Drive, Plainville, CT and 20 Tuttle Place Middletown

In office

X

Western CT Medical Group-Spec Group

Rosalie Greenbaum, Ph.D

Mariel Zeccola, APRN Mikaru Lasher, PHD Harriet Wieder, DBP

Sherill Werblood, PHD

203-739-7296 14 Research Drive, Bethel, CT

State of CT

and New York

X

X

X

X

Yale School of Medicine Specialty Group

Carol Weitzman, DBP Abha Gupta, DBP

Abraham Avi-Singer, DBP Heidi Wildstein, DBP

203-785-4081 1 Long Wharf Drive, 2nd Floor, New Haven, CT

In office X

Zaba Therapy, LLC

Thomas Zwicker, BCBA-D

Gail Felice, BCBA Patrick O’Leary, BCBA

Molly Piette, BCBA

718-866-6176

34 Woodlawn Street, Hamden, CT

X X X

Page 16: Autism Services Phone Number 877-552-8247 Autism … · Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut Autism Services Phone Number

Autism Spectrum Disorders Services Provider Contact List: Beacon Health Options® Connecticut

Autism Services Phone Number 877-552-8247

Autism Services Fax Number 855-901-2493

16 REVISED 05/03/2018