PETALU'DA AUTISM SERVICES LLC
NPI 1245578475
Counselor - Professional in Vernon, CT

Active since January 23, 2013
6 ELIZABETH LN, VERNON, CT 06066(860) 983-8112 Get Directions Write a Review

NPPES record last updated: November 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Petalu'da Autism Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETALU'DA AUTISM SERVICES LLC (NPI 1245578475) is a healthcare organization registered as a professional in Vernon, Connecticut and active in the NPI registry since January 2013. The organization lists Keisha Powell, Autism Therapist, as its authorized official.

NPPES Registry Identity

NPI1245578475
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NamePETALU'DA AUTISM SERVICES LLC
Location Address6 ELIZABETH LNVernon, CT 06066-5056
Mailing Address6 Elizabeth LnVernon, CT 06066-5056 · (860) 983-8112
Organization SubpartNo
Authorized OfficialKeisha PowellAutism Therapist · (860) 983-8112
Enumeration DateJanuary 23, 2013
Last NPPES UpdateNovember 8, 2014
NPI 1245578475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CT · 11211741
Also ListedPoint of ServiceTaxonomy 305S00000X · License 3928518916 (CT)
6 ELIZABETH LN, Vernon, CT 06066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petalu'da Autism Services LLC's NPI number?

The NPI number for Petalu'da Autism Services LLC is 1245578475. It was assigned to this organization in the NPPES registry on January 23, 2013.

Where is Petalu'da Autism Services LLC located?

Petalu'da Autism Services LLC is located at 6 Elizabeth Ln, Vernon, CT 06066. The listed phone number is (860) 983-8112.

What is Petalu'da Autism Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Petalu'da Autism Services LLC was last updated on November 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.