IndividualActive
Michael Mahoney, BCBA
NPI 1053071092 · Behavior Analyst · Southbury, CT
Michael Mahoney, BCBA is a Behavior Analyst provider in Southbury, CT (NPI 1053071092).
Provider details
- NPI number
- 1053071092
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- Yes
Practice location
220 Main St S
Southbury, CT 06488-2275
Phone: (203) 920-0520
Street-level locationGet directions
Mailing address
129 Wedgewood Dr Apt 2
Waterbury, CT 06705-3673
Registry dates
- Enumerated
- 2021-12-17
- Last updated
- 2021-12-17
- Certified
- 2021-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.