Provider Demographics
NPI:1881178184
Name:ROESLING, KARLY LLYN-EMY I (MA BEHAVIOR ANALYSIS)
Entity type:Individual
Prefix:MISS
First Name:KARLY
Middle Name:LLYN-EMY
Last Name:ROESLING
Suffix:I
Gender:F
Credentials:MA BEHAVIOR ANALYSIS
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:254 SEASIDE AVE APT A
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-5452
Mailing Address - Country:US
Mailing Address - Phone:925-899-4787
Mailing Address - Fax:
Practice Address - Street 1:110 COURT ST STE 3
Practice Address - Street 2:
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-1273
Practice Address - Country:US
Practice Address - Phone:860-613-9930
Practice Address - Fax:860-613-9952
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician