Provider Demographics
NPI:1487789715
Name:CITY OF WATERBURY BOARD OF EDUCATION
Entity type:Organization
Organization Name:CITY OF WATERBURY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL SERVICES SUPERVISORS
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-346-3507
Mailing Address - Street 1:37 LEAVENWORTH ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06702-2130
Mailing Address - Country:US
Mailing Address - Phone:203-573-6692
Mailing Address - Fax:203-573-6694
Practice Address - Street 1:37 LEAVENWORTH ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06702-2130
Practice Address - Country:US
Practice Address - Phone:203-573-6692
Practice Address - Fax:203-573-6694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
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)