Search › Connecticut › 103K00000X
Jacob Hugaboom
NPI 1538758032 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2666 State St Ste A3
Hamden, CT 06517 - Phone
- (888) 754-0398
- Organisation at this address
- Community Social Integration, Llc
Vocational Development Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 140
Additional practice sites
- 23 Sitterly Rd, Halfmoon, NY
- 29 North Plains Highway, Wallingford, CT
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-24
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