Search › Connecticut › 103K00000X
Shane Fedigan, BCBA, LBA-CT
NPI 1396546859 · on the registry since 2025 · sole proprietor
Practice
- Address
- 802 Federal Rd
Brookfield, CT 06804 - Phone
- (203) 794-2523
- Organisation at this address
- Four Corners Dental Studio
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut