Provider Demographics
NPI:1619521309
Name:HUGH-PENNIE, AMOY KITO (BCBA-D, LBA, IBA)
Entity type:Individual
Prefix:DR
First Name:AMOY
Middle Name:KITO
Last Name:HUGH-PENNIE
Suffix:
Gender:F
Credentials:BCBA-D, LBA, IBA
Other - Prefix:DR
Other - First Name:AMOY
Other - Middle Name:KITO
Other - Last Name:HUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA-D, LBA, IBA
Mailing Address - Street 1:802 FEDERAL RD UNIT 211
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-4012
Mailing Address - Country:US
Mailing Address - Phone:689-247-6995
Mailing Address - Fax:
Practice Address - Street 1:802 FEDERAL RD STE 5
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-4008
Practice Address - Country:US
Practice Address - Phone:203-244-7435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1751103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst