Transcript
Page 1: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

A Behavioral Approach, LLC4 Laconia Drive Clinton CT 06413

(860) 531-9621 (860) 531-9310

Dr. Monica Santos [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Abilis, Inc. (formerly Greenwich ARC)50 Glenville St. Greenwich CT 06831

(203) 531-1880 (203) 531-6213

Amy Montimurro [email protected]

Yes

AgencyNo Yes

Phon Fax

Provider Type: YesYes

Abilities Without Boundaries, Inc.615 West Johnson Ave. Suite 203 Cheshire CT 06410

(203) 272-5607 (203) 272-4284

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Ability Beyond Disability, Inc.4 Berkshire Blvd. Bethel CT 06801

(203) 775-4700 (203) 775-5734

Jane Davis [email protected]

Yes

AgencyNo Yes

Phon Fax

Provider Type: YesYes

ABLE Home Health Care, LLC16 Taylor Place Westport CT 06880

(203) 529-5123 (888) 761-5161

Jamie Zeppernick [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

ABLE: ABA, Behavior, Life Skills and Education, LLC56 Old Black Point Road Niantic CT 06457

(860) 326-9711

Caryn Mello-Kennedy [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

ACES350 State Street North Haven CT 06473

(203) 234-1344 (203) 234-1369

Tom Danehy [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 1 of 41

Page 2: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Adelbrook Community Services, Inc.58 Missionary Road Cromwell CT 06416

(860) 635-6010 (860) 632-3216

Alyssa Goduti [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Adult Vocational Programs, Inc.P.O. Box 435 Chester CT 06412

(860) 345-4457 (860) 526-1926

Margaret Winkley [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Advanced Behavioral Care LLCPO Box 984 New Britain CT 06052

(860) 827-9364 (860) 827-1161

Ian Burruss [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Ahmed, Ali Khalafalla, M.B.B.cH LBS1333 East Main Street, Unit 5 Bridgeport CT 06607

(215) 287-1440

Dr. Ali Khalafalla Ahmed [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

All Care, LLC32 Miner Street Middletown CT 06457

(860) 632-1119 (860) 632-0361

Brenda Marinan [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

All Pointe Care LLC (formerly Alliance Staffing of CT)675 West Johnson Avenue Cheshire CT 06410

(203) 250-1900 (203) 250-2361

Steve Lapointe [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Allan, Laurie30 Amos White Road Southbury CT 06488

(203) 262-6967 (203) 262-6967

Laurie Allan [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Page 2 of 41

Page 3: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Alliance Healthcare Solutions, LLC775 Silver Lane Unit A2B East Hartford CT 06118

(860) 528-2700 (860) 528-3700

Mandie Fagan [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Allied Rehabilitation Centers, Inc.3 Pearson Way Enfield CT 06082

(860) 741-3701 (860) 741-6870

Carol Bohnet [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Allie's Dreamc/o 26 Maple Vale Drive Woodbridge CT 06525

(203) 671-3898

Lili Kressen [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Almada Lodge-Times Farm Camp Corporation, The (Channel 3 Kids Camp)73 Times Farm Road Andover CT 06232

(860) 742-2267 (860) 742-8027

Jessica Vance [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Almost Home Adult Daycare, LLC52 Federal Rd. Danbury CT 06810

(203) 743-6456 (203) 797-9974

April Huizar [email protected]

No

AgencyNo No

Phon Fax

Provider Type: NoNo

Alternative Services - Connecticut, Inc.84 Linwood Ave. Colchester CT 06415

(860) 537-4697 (860) 537-6257

Muhammad Shabazz [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Alternatives, Inc.PO Box 766, 558 Maple Ave. Cheshire CT 06410

(203) 272-4009 (203) 272-4077

Kelly Bragdon [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 3 of 41

Page 4: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Andring, Julie35 White Rd. Northfield CT 06778

(860) 283-8587

Julie Andring [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Apex Educational Solutions, LLC34-3 Shunpike Road #196 Cromwell CT 06416

(860) 604-6729 (860) 886-1007

Andrew R. Moyer, NCSP, BC [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Applied Behavioral Sciences, LLC41 North Main Street West Hartford CT 06107

(860) 236-7333 (860) 521-9275

Rafael Gallegos, Psy.D. [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Arc Eastern Connecticut, Inc. The125 Sachem St. Norwich CT 06360

(860) 889-4435

Kathleen Stauffer, CEO [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

ARC of Greater New Haven, Inc.528 Washington Avenue North Haven CT 06473

(203) 985-8014 (866) 678-3424

Ashley Dennis [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

ARC of Litchfield County, Inc. (formerly LARC)314 Main St. Torrington CT 06790

(860) 482-9364 (860) 496-2079

Michael Menard [email protected]

Yes

AgencyNo Yes

Phon Fax

Provider Type: YesYes

ARC of Southington, Inc. The201 West Main Street Southington CT 06479

(860) 628-9220 (860) 621-2546

Patricia Gibney [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 4 of 41

Page 5: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

ARC of The Farmington Valley, Inc. The225 Commerce Dr. Canton CT 06019

(860) 693-6662 (860) 693-866

Stephen E. Morris [email protected]

Yes

AgencyNo Yes

Phon Fax

Provider Type: YesYes

ARI of Connecticut, Inc.174 Richmond Hill Ave. Stamford CT 06902

(203) 324-9258

Susanne D. Kuligowski [email protected]

No

AgencyNo No

Phon Fax

Provider Type: NoNo

Armour, Nadean46 Litchfield Road Watertown CT 06795

(860) 818-0102

Nadean Armour [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Ascension Habilitative Support Services, LLC66 Franklin Street, Suite 18 Norwich CT 06360

(860) 326-5871 (860) 909-047

Robert Pendola [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Association for Community Organizations and Resource Development Inc. (ACORD)7 Barnes Industrial Road South Wallingford CT 06492

(203) 269-3599 (203) 269-1980

Francine M. Pangaro [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Azimova, Marina A, Ed.M., MSW, BCBA174 Mohawk Drive West Hartford CT 06117

(570) 417-1561

Marina A. Azimova, Ed.M., [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

BAGS Foundation CT, Inc.135 East Liberty Street Waterbury CT 06706

(203) 591-1182 (203) 591-1181

Nakia Reddick [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 5 of 41

Page 6: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Baroco Corporation The136 West Street, Suite 03 Northampton MA 01060

(413) 531-4775 (413) 304-6200

Rick Barnard, President [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Barrett, Sean7-9 Eden Drive, Unit #7 Danbury CT 06810

(914) 815-4165

Sean Barrett [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Behavior Analysis Consultations, LLC896 East Street Andover CT 06232

(860) 645-0113

Robert Kliminsky, MA, BCBA [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Behavioral Health Consulting Services, LLC46 West Avon Road Avon CT 06001

(860) 673-0145

Diane Tobin [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Behavioral Management, LLC33 Bernhard Road North Haven CT 06473

(203) 785-9110 (203) 785-9338

Neil Quatrano [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Benhaven, Inc.187 Half Mile Rd. North Haven CT 06473

(203) 239-6425 (203) 239-1318

Kathryn Dupree [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Bergsteinsson, Ingo, Ph.D., BCBA42 Mountain Road Farmington CT 06032

(860) 716-4192

Ingo Bergsteinsson, Ph.D., B [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Page 6 of 41

Page 7: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Betts, Sharon, RN, MDIV, HCC29 Smokerise Circle Prospect CT 06712

(203) 910-8225

Sharon Betts [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Bluebird, L.L.C. (formerly Griswold Special Care, Inc.)116 Sherman Avenue New Haven CT 06511

Lesley Mills [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Bodington, Eileen186 Hang Dog Lane Wethersfield CT 06019

(860) 833-9576

Eileen Bodington [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Brian House, Inc.P.O. Box 134 Chester CT 06412

(860) 345-4457 (860) 345-4707

Margaret Winkley [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Bridges Healthcare, Inc.941-949 Bridgeport Avenue Milford CT 06460

(203) 878-6365 (203) 874-5252

John Dixon [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Bristol Adult Resource Center, Inc.195 Maltby Street PO Box 726 Bristol CT 06011

(860) 261-5592 (860) 845-889

Mary F. Etter [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Buckingham Community Services of C.T., Inc.556 Vauxhall Street Ext. Waterford CT 06385

(860) 447-9911 (860) 444-7036

Donald Barnes [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 7 of 41

Page 8: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Building Blocks for Parents, LLC140 Scuppo Road Woodbury CT 06798

(203) 885-9208

Kelly Packett [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Burke, Terri354 Brown Brook Road Southbury CT 06488

(203) 264-9451

Terri Burke, MSN, RN, CDDN [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Camp Ramapo For Children (Camp Ramapo)PO Box 266 Rhinebeck NY 12572

(845) 876-8403

Michael Kunin [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Capital Region Education Council Foundation, Inc.(CREC)111 Charter Oak Ave. Hartford CT 06106

(860) 247-2732 (860) 509-3728

Deborah Richards [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Carbone, Paula, RN65 James Street Hamden CT 06518

(203) 901-2871

Paula Carbone [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Care One Health Services, LLC28 Ward Dr. South Danbury CT 06810

(203) 744-0059 (203) 744-0059

Abel Osagie [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Caring Community of Connecticut, Inc. The84 Waterhole Rd Colchester CT 06415

(860) 267-4463 (860) 267-7628

Daisey Nayeem [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 8 of 41

Page 9: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Cathcart, Aydrien L.PO Box 436 Tolland CT 06084

(860) 830-6481

Aydrien L. Cathcart MSEd., [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Catholic Charities, Inc. - Archdiocese of Hartford839-841 Asylum Avenue Hartford CT 06105

(860) 493-1841 (860) 548-1930

Melissa Davison-Wood [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Cattleya, LLCPO Box 1511 Hartford CT 06144

(860) 688-0034 (203) 841-1078

Brandon Walker [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Cave, Meghan Marie25 Grand Street, Apartment 102 Norwalk CT 06851

(860) 595-7588

Meghan Marie Cave [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

CCARC Foundation, Inc.950 Slater Road New Britain CT 06053

(860) 229-6665 (860) 826-688

Anne L. Ruwet [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Center for Human Development, Inc.705 A New Britain Avenue Hartford CT 06106

(413) 439-2109

James Goodwin [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Center for Transitional Living, LLC6 Executive Drive, Suite 120 Farmington CT 06032

(860) 840-7285 (860) 920-7369

Jeff Farmer [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 9 of 41

Page 10: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Center of Hope Foundation, IncorporatedPO Box 66 100 Foster Street Southbridge MA 01550

(508) 764-4085 (508) 765-0255

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Cerebral Palsy of Westchester, Inc.1186 King St. Rye Brook NY 10573

(914) 937-3800 (914) 937-3983

Linda Kuck [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Change Incorporated1251 S. Main Street Middletown CT 06457

(860) 346-0771 (860) 346-0772

Derrick Gibbs [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Chapel Haven Schleifer Center, Inc.1040 Whalley Ave. New Haven CT 06515

(203) 397-1714 (203) 937-2466

Michael Storz [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Chez Nous, Inc.42 Johnson Rd. Columbia CT 06237

(860) 228-8087

Gloria-Jean Bogue [email protected]

No

AgencyNo No

Phon Fax

Provider Type: NoNo

Children's Center of Hamden, Inc. The1400 Whitney Avenue Hamden CT 06517

(203) 248-2116 (203) 248-9339

Daniel W. Lyga, LCSW [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Chouinard, Alyssa173 Pond View Drive Watertown CT 06795

(203) 725-2279

Alyssa Chouinard [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Page 10 of 41

Page 11: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

CLASP Homes, Inc.246 Post Road East Westport CT 06880

(203) 226-7895 (203) 221-0533

Tracy Flood [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Cohen, Nadean RN, BSN, MS15 Knollcrest Drive Trumbull CT 06615

(203) 339-5263

Nadean Cohen RN, BSN, MS [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Community Based Services, Inc.3 Fields Lane North Salem NY 10560

(914) 277-4771 (914) 277-8956

Vicki Sylvester, Ph.D. [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Community Care Team, LLC264 Amity Road Woodbridge CT

(203) 676-9742 (203) 745-0493

Chukwuemeka Bill Okwuosa [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Community Navigators, Inc.462 Farmington Avenue Kensington CT 06037

(860) 770-7078 (860) 357-3440

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Community Residences, Inc.50 Rockwell Road Newington CT 06111

(860) 621-7600 (860) 620-984

Pam Paisey-interim [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Community Social Integration LLC2666 State St. Hamden CT 06517

(203) 287-1543 (203) 407-1625

Marjorie Gibson [email protected]

Yes

AgencyYes No

Phon Fax

Provider Type: YesYes

Page 11 of 41

Page 12: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Community Systems Inc. (CSI)295 Alvord Park Rd. Torrington CT 06790

(860) 482-2887 (860) 482-2678

Georgette Dorsett [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Community Vocational Services Incorporated (CVS)181 Old Boston Post Road Waterford CT 06385

(860) 439-0600 (860) 439-062

Tony Vellucci [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Companion Support Resources, LLC360 Bloomfield Avenue, Suite 301 Windsor CT 06095

(207) 838-7500

Jonathan Mazzaro [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesNo

Compassion N Care, LLC50 Waterbury Road, Ste 2B Prospect CT 06712

(203) 684-5901 (866) 854-698

Joseph Bray [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Complete Care Health Services, LLC dba Palace Adult Day Health Center144 Golden Hill Street Bridgeport CT 06604

(508) 294-8756 (203) 870-0677

Chrissie Schettini [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Connecticut Institute for the Blind, Inc. dba Oak Hill Industries, Inc.120 Holcomb St Hartford CT 06112

(860) 242-2274 (860) 242-7492

Barry Simon [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 12 of 41

Page 13: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Connecticut Transportation Solutions, LLC555 Highland Avenue Cheshire CT 06410

(203) 592-7213 (203) 439-2775

Chet Doheny [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Continuum of Care, Inc.109 Legion Avenue New Haven CT 06519

(203) 562-2264 (203) 401-4298

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Corporation for Public Management11-13 Hampden Street Springfield MA 01103

(413) 272-2200 (413) 731-5399

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Crisci, Carol Ann, RN, CDDN2464 Whitney Avenue Hamden CT 06518

(203) 234-7581 (203) 234-7590

Carol Ann Crisci, RN, CDDN [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

CT Behavioral Health, LLC673 South Main St. Cheshire CT 06410

(203) 271-1430 (203) 271-1800

Ryan Loss PhD [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Curran, Allison51 Midway Drive Cromwell CT 06416

(860) 424-1875

Allison Curran [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Curtin Motor Livery Service, Incorporated176 Cross Road Waterford CT 06385

(860) 443-1655 (860) 447-3383

Joseph Miller [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 13 of 41

Page 14: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

CW Resources, Inc.200 Myrtle St New Britain CT 06053

(860) 229-7700 (860) 229-6847

Ron Buccilli [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

D'Amora, Rachel226 Fountain Street, apt. 101 New Haven CT 06515

2036415281

Rachel D'Amora [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Day-Break at Farmington, LLC290 Farmington Ave. Plainville CT 06062

(860) 747-4093 (860) 678-9776

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

DDN Health Care Coordination, LLC2464 Whitney Avenue PO Box 185 Hamden CT 06518

(203) 234-7581 (203) 234-7590

Carol Crisci [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Developmental Solutions, LLC67 Hoopole Hill Road Deep River CT 06417

(860) 930-9085 (860) 658-4432

Judith Fishman [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Disability Resource Network, Inc.230 Caroline Street Derby CT 06418

(203) 732-0030 (203) 516-5489

John Esteves [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Doolabh, Ajit, Ph.D., BCBA45 Brittania Drive Danbury CT 06811

(203) 233-1211

Ajit Doolabh, Ph.D. BCBA [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Page 14 of 41

Page 15: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Duhan, Briana35 Mountain Village Road, Apt #27 Waterbury CT 06706

(203) 695-5526

Briana Duhan [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Dungarvin Connecticut, Inc19 Kensington Lane Rocky Hill CT 06067

(860) 257-1556

Hannah Jurewicz [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Dussan, Caitlin32 Whitney Avenue Milford CT 06460

(203) 331-5184

Caitlin Dussan [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Easter Seal Rehab Center of Greater Waterbury, Inc.22 Tompkins St. Waterbury CT 06708

(203) 754-5141 (203) 757-1198

Lorraine C. Shea [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Easter Seals Capital Region & Eastern Connecticut, Inc.100 Deerfield Road Windsor CT 06095

(860) 728-1061 (860) 728-1065

Allen S. Gouse [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Easter Seals Connecticut, Inc. (dba Easter Seals Coastal Fairfield County)733 Summer Street Stamford CT 06901

(203) 388-2192 (203) 388-2196

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 15 of 41

Page 16: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Eastern Community Development Corporation156 Cross Road Waterford CT 06385

(860) 739-7907 (860) 739-1873

Bill Velez [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

EdAdvancePO Box 909 355 Goshen Rd. Litchfield CT 06759

(860) 567-0863 (860) 567-3381

JodiLynn Nasinnyk [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Educational Consultants Group39 Summer Street Keene NH 03431

(603) 357-3737 (844) 281-0423

Scott Dow [email protected]

Yes

AgencyYes No

Phon Fax

Provider Type: YesYes

Ellis, Linna13 Marion Drive East Lyme CT 06333

(203) 823-8663

Linna Ellis [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Employment Options, LLC1100 Southford Road Middlebury CT 06762

(203) 267-3810 (203) 267-3813

Paul Bauman [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Eprine Community Services, Inc.1450 Barnum Avenue Suite 202 Bridgeport CT 06610

(607) 323-0771 (866) 515-6834

Luis Mota [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Family Care Visiting Nurse & Home Care Agency, L.L.C.999 Oronoque La. Stratford CT 06614

(203) 380-3220 (203) 380-3229

Rita C. Krett [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 16 of 41

Page 17: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Family Options, Inc.115 Waterbury Road Suite 1 Prospect CT 06712

(203) 591-1885 (203) 591-9077

Candace Eggleston [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Family Partnerships of Connecticut, LLC36 Tiffany Dr. Windsor CT 06095

(860) 688-2278 (860) 688-1681

Susan Miller [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Family Support Team, LLC96 Skyline Dr. East Hartford CT 06118

(860) 614-6062 (860) 568-005

Ingrid Straker [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Felician Adult Day Care, Inc.1333 Enfield St. Enfield CT 06082

(860) 745-2542 (860) 745-2542

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Ferrero, Vanessa183 Brookhaven Drive East Longmeadow MA 01028

(413) 427-2169

Vanessa Ferrero [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Forte, Solandy54 Wilson Street Milford CT 06461

(203) 554-0763

Solandy Forte [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Frank Olean Center, Inc. The93 Airport Road Westerly RI 02891

(401) 596-2091 (401) 596-3945

Anthony Vellucci [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 17 of 41

Page 18: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Friends of New Milford, Inc.PO Box 89 New Milford CT 06776

(860) 355-5343 (860) 355-5344

Donna Ducibella [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Futures, Incorporated902 South Quaker Lane West Harftord CT 06110

(860) 347-5099 (860) 519-0273

Pamela Don Aroma [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

G.I.L. Foundation, Inc. (Grounded in Love)PO Box 7331 / 115 Waterbury Road, Prospect CT 06712

(203) 758-3506 (203) 758-0111

Joseph Mascia [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

G.R.O.W.E.R.S., Inc.86 Anderson Road Wallingford CT 06492

(203) 605-2807

Scott Hickman [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Global Horizon Development Inc.2 Barnard Ln. Bloomfield CT 06002

(860) 243-0560 (860) 243-2748

Brayard Gordon [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Glory Days, LLC107 Church Hill Rd, #GL-1 Sandy Hook CT 06482

(203) 648-5893 (203) 491-2900

Emily A. Slattery [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Good Life Residential, LLC640 Hilliard Street, Suite 1108 Manchester CT 06042

(860) 432-8722 (860) 432-1963

Marc Wilson [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 18 of 41

Page 19: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Goodwill Industries of Southern New England, Inc.432 Washington Avenue North Haven CT 06473

(203) 777-2000 (203) 624-5600

Richard Borer [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Goodwill of Western and Northern Connecticut, Inc.165 Ocean Terrace Bridgeport CT 06605

(203) 368-6511 (203) 335-9326

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Grabbe, Carol309 South Main Street, Apt. C24 Middletown CT 06457

(860) 471-2592

Carol Grabbe [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Green Chimneys Children's Services, Inc.400 Doansburg Road, box 719 Brewster NY 10509

(203) 744-5991 (203) 797-0539

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Greenwich Adult Day Care Inc. (dba River House Adult Day Center)125 River Road Extension Cos Cob CT 06807

(203) 622-0079 (203) 622-4344

Donna Spellman [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Grenier, Catherine362 Woodland Street Manchester CT 06040

(860) 874-7401

Cathy Grenier [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Page 19 of 41

Page 20: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Guazzelli, Christina20 Audi Lane Stratford CT 06614

(305) 495-7230

Christina Guazzelli [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Guide Inc.129 Asylum Street Norwich CT 06360

(860) 887-9383 (860) 237-5358

Lena Bean [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Gustafson, John169 Route 87 Columbia CT 06237

(860) 942-4016 (860) 337-0201

John Gustafson [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Hanley, Michael Ph.D.80 Brace Road West Hartford CT 06107

(860) 481-2131

Michael J. Hanley, Ph.D. [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

HARC, Inc.900 Asylum Ave. Hartford CT 06105

(860) 218-6000 (860) 541-1770

Annette Hargrove -interim [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

HART United Inc72 Washington Ave. North Haven CT 06473

(203) 234-2200 (203) 234-1510

Diane Tanenbaum [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Hartford Psychological Services, Inc.210 Wethersfield Avenue Hartford CT 06114

(860) 296-0094 (860) 206-1184

Rafael Mora De Jesus, Ph.D. [email protected]

No

Individual PractitionerNo No

Phon Fax

Provider Type: NoNo

Page 20 of 41

Page 21: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Helping People Excel, Inc.290 Pratt Street Meriden CT 06450

(203) 440-9456 (203) 440-9478

Joseph Cianciullo [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Hernberg, Donald356 Windham Road Willimantic CT 06226

(860) 301-4468

Donald Hernberg [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Hilton-Julien, Kimberly, M.A., BCBAPO Box 26912 West Haven CT 06516

(203) 668-6681 (203) 680-9005

Kimberly Hilton-Julien [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Hispanic Coalition of Greater Waterbury, Inc.135 East Liberty Street Waterbury CT 06706

(203) 754-6172 (203) 596-8017

Victor Lopez Jr. [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Hogan, Catherine A., MSW, LCSW335 Audubon Court New Haven CT 06510

(203) 605-8727

Catherine Hogan [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Horizons Programs, Inc.127 Babcock Hill Rd. South Windham CT 06266

(860) 456-1032 (860) 456-4721

Chris McNaboe [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Horizons, Inc.127 Babcock Hill Rd. South Windham CT 06266

(860) 456-1032 (860) 456-4721

Chris McNaboe [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 21 of 41

Page 22: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Humanidad, Inc.750 Old Main Street, Suite 100 Rocky Hill CT 06067

(860) 563-6103

Evans Jacobs [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

ICES, Inc.35 Elm Street Naugatuck CT 06770

(203) 723-4133 (203) 723-4202

Chet Doheny [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Inclusion First L.L.C.PO Box 146 Canton CT 06019

(860) 693-8422 (860) 693-068

Ronna-Marie Guiliano [email protected]

No

AgencyNo No

Phon Fax

Provider Type: NoNo

Independent Living Solutions, LLC367 Frost Rd. Waterbury CT 06705

(203) 755-5201 (203) 841-1104

Lisa Martin [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Inspirational Care, LLC90 Brainard St. Ste 105 Hartford CT 06114

(860) 404-5501 (860) 470-3286

Cortney Dunlap [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Institute of Professional Practice, Inc. (The)538 Preston Avenue Meriden CT 06450

(203) 317-2700 (203) 317-2896

Paul L. Keene [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Interlocking Connections, LLC707 Enfield Street Enfield CT 06082

(860) 745-7144 (860) 745-7144

Carole Ryan Hanlon [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 22 of 41

Page 23: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

J.M. Enterprises, LLC61 Hawthorne Avenue Hamden CT 06517

(203) 506-4400 (203) 248-9658

Judy Goldberg [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Jaffee Family and Behavior Therapy Services, Inc.29 Stony Hill Road Ridgefield CT 06877

(203) 470-8057

Carey Jaffee [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Jewish Association for Community Living, Inc. (JCL)900 Asylum Ave. Hartford CT 06105

(860) 522-5225

Denis Geary [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Jewish Family Services of Greater Hartford, Inc.333 Bloomfield Avenue, Suite A West Hartford CT 06117

(860) 236-1927 (860) 236-6483

Anne M. Danaher, CEO [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Jordan-Parker, Linda, Ed. D.11 Brace Road Somers CT 06071

(860) 819-1088

Linda Jordan-Parker, Ed .D. [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Journey Found, Inc.60 Hilliard Street Manchester CT 06040

(860) 643-9844 (860) 643-9534

Tracey Walker [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Karan, Orv, Ph.D.1890 Littel Acres Road Glastonbury CT 06033

(860) 657-9910 (860) 657-2618

Orv Karan, Ph.D. [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Page 23 of 41

Page 24: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Kayser, LyndePlainville CT 06062

(203) 695-1954

Lynde Kayser [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

KenCrest Services, Inc.80 Ferry Boulevard, Suite 102 Stratford CT 06615

(203) 375-3762 (203) 375-3774

Steven Wolfe [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Kennedy Center, Inc. The2440 Reservoir Ave. Trumbull CT 06611

(203) 365-8522 (203) 365-2692

Richard Sebastian [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Key Human Services, Inc.1290 Silas Deane Highway, Suite 1A Wethersfield CT 06109

(860) 409-7350 (860) 409-7356

Elizabeth Weiblen [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Krol, Alicia56 Daniel Drive Colchester CT 06415

(860) 460-4393 (860) 531-9376

Alicia Krol [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Kuhn Employment Opportunities, Inc.1630 North Colony Rd., P.O.Box 94 Meriden CT 06450

(203) 235-2583 (203) 639-6500

Beth Fisher [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Kurtz, Eileen6 Chandler Drive Wolcott CT 06716

(203) 879-0698 (203) 879-0698

Eileen Kurtz [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Page 24 of 41

Page 25: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Lacroix, Alexandra, M.S., BCBA, LBA716 East Street Southington CT 06489

(203) 525-6068

Alexandra Lacroix [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Lasse's Livery Service, Inc.176 Cross Road Waterford CT 06385

(860) 443-1655 (860) 437-7889

Kem Bruno [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Lefebvre, Gregory74 Thomas Street Hamden CT 06514

(603) 315-7631

Lefebvre, Gregory [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Lemanski, Jerry18 Eagle Drive Shelton CT 06484

(203) 231-0914

Jerry Lemanski [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Liberty Homecare Options, LLC26 Hart Street New Britain CT 06052

(860) 357-4112 (860) 357-4253

Lucia DeVivo Catalano [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Life Needs CoOp Inc.205 North Plalin Road Great Barrington MA 01230

(413) 528-0506 (413) 464-6644

Peter Stanton [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Life-Skills, Inc.44 Morris Street Webster MA 01570

(508) 943-0700 (508) 949-6129

J. Thomas Amick [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 25 of 41

Page 26: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Lighthouse Voc-Ed Center, Inc. The125 Shaw Street New London CT 06320

(860) 445-7626 (860) 449-1378

Kassidy Brown [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Living Innovations Support Services, Inc.535 Centerville Road Suite P Warwick RI 02886

(401) 732-0304 (401) 732-0307

Neal Ouellett [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Lotus Behavioral Consultation, LLC60 Wood Pond Road Glastonbury CT 06033

(860) 420-9253

Lindsey Malchow [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Love, Peter (Peter Love Educational Consulting, LLC)167 East High Street East Hampton CT 06424

(860) 305-6375 (860) 267-0345

Dr. Peter Love [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Malchow, Lindsey60 Wood Pond Road Glastonbury CT 06033

(860) 420-9253

Lindsey Malchow [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Maloney, Jennifer25 South Street Hatfield MA 01038

(413) 335-6334 (413) 247-9593

Jennifer Maloney [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

MARC Community Resources, LTD25 Industrial Park Road Middletown CT 06457

(860) 342-0700 (860) 342-1492

Linda Iovanna [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 26 of 41

Page 27: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

MARC, Inc. of Manchester151 Sheldon Road Manchester CT 06040

(860) 646-5718 (860) 645-9910

Kevin Zingler [email protected]

Yes

AgencyNo Yes

Phon Fax

Provider Type: YesYes

March, Inc. of Manchester222 McKee St. Manchester CT 06040

(860) 646-4446 (860) 646-005

Donna Hollis [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Margelot, Lynde252 Gilbert Avenue Winsted CT 06098

(860) 309-9932

Lynde Margelot [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Marrakech Housing Options, Inc.6 Lunar Dr. Woodbridge CT 06525

(203) 389-2970 (203) 397-0658

Heather LaTorra [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Marx, Sally105 Clifton Street Wallingford CT 06492

(203) 793-7131

Sally Marx [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Maturo, Holly, MA, CPRP49R Sycamore Drive Durham CT 06422

(203) 506-7958

Holly L. Maturo, MA, CPRP [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Meinhold, Patricia Ph.D.33 Hillsdale Road Richmond RI 02892

(401) 222-9260 (401) 491-9026

Patricia Meinhold, Ph.D. [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Page 27 of 41

Page 28: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Mercy Community Health, Inc. (St. Mary Home Adult Daycare)2021 Albany Ave. West Hartford CT 06117

(860) 570-8234 (860) 570-8214

Debra Zandonella [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Mercy Drive-CT, Inc.500 West Putnam Ave - Suite 400 Greenwich CT 06830

(718) 725-9876 (718) 793-8011

Christabella Cochran [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Midstate ARC, Inc. (formerly ARC of Meriden-Wallingford, Inc.)200 Research Parkway Meriden CT 06450

(203) 237-9975 (203) 639-5513

Pam Fields [email protected]

Yes

AgencyYes No

Phon Fax

Provider Type: YesYes

Milestones Behavioral Services, Inc. (formerly Connecticut Center for Child Development, Inc (CCCD))339 Boston Post Road Orange CT 06477

(203) 306-0821 (203) 306-0822

Suzanne Letso [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Morgan, Felicia, Ph.D., BCBA-DCCSN 2300 Main Street Glastonbury CT 06033

(860) 543-1369

Felicia Morgan, Ph.D., BCBA [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Mosaic of Connecticut Inc.100 Sebethe Dr. Suite A2 Cromwell CT 06416

(860) 632-2814 (860) 632-0657

Andrea Ferrucci [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 28 of 41

Page 29: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Murphy, Annemarie, Ph.D1057 Broad St. Bridgeport CT 06604

(203) 459-0515 (203) 459-4237

Annemarie Murphy, Ph.D [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Nagurney, Meaghan102 Washington Street, Apt 2A Norwalk CT 06854

(203) 536-7363 (203) 322-6948

Meaghan Nagurney [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Network, Inc.23 Route 6 Andover CT 06232

(860) 742-1313 (860) 512-0373

Susan Pearson [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

New Beginnings for Life, LLC20 Hartford Road #44 Salem CT 06420

(860) 531-9426

Ellen Young [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

New Canaan Group Home, Inc.162 South Ave. New Canaan CT 06840

(203) 972-3867 (203) 972-3915

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

New England Business Associates, Inc.66 Industry Avenue, Suite 11 Springfield MA 01104

(413) 821-9200 (413) 821-9209

Jeannine Pavlak [email protected]

No

AgencyNo No

Phon Fax

Provider Type: NoNo

New England Residential Services, Inc.Sanseer Mill West, 282 Main St. Ex Middletown CT 06457

(860) 347-9633 (860) 347-7942

Chet Fischer [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 29 of 41

Page 30: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

New Foundations, Inc.1776 Meriden Rd. Wolcott CT 06716

(203) 879-4631

Sandi Vincenzo [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Newport, Paul891 West Blvd, Apartment 520 Hartford CT 06105

(860) 857-0730 (860) 231-1685

Paul Newport [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

North American Family Institute, Inc. (NAFI)20 Batterson Park Road, Suite 300 Farmington CT 06032

(860) 284-1177 (860) 284-1125

Lynn Bishop [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Northeast Placement Services, Inc.312 Rte 169 PO Box 185 South Woodstock CT 06267

(860) 963-2555 (860) 963-1961

Timothy Kettle [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Olbrych, Kristen25 Brookside Road Redding CT 06896

(203) 770-2737

Kristen Olbrych [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Opportunity House, Inc.320 Old Hill Road Hamden CT 06514

(203) 281-1839 (203) 288-4101

Robert Young [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Opportunity Works Connecticut, Inc.45 West Main Street Rockville CT 06066

(860) 454-4016 (860) 454-838

I. Rene Lambert [email protected]

No

AgencyNo No

Phon Fax

Provider Type: NoNo

Page 30 of 41

Page 31: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Options Employment and Educational Services, LLC606 Farmington Avenue Hartford CT 06105

(860) 523-5318 (860) 232-3597

Scott W. Wells [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Options Unlimited, Inc.693 Bloomfield Avenue Bloomfield CT 06002

(860) 243-3260 (860) 243-3627

Lynn Cinciva [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Papstein, Jacalyn, BCBA7 Gorham Avenue Westport CT 06880

(203) 858-3892

Jacalyn Papstein, BCBA [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Partland, Geanna105 Richards Avenue #2310 Norwalk CT 06854

(631) 235-3167 (203) 354-7314

Geanna Partland [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Partners in Care, Inc.12 Cambridge Drive Trumbull CT 06611

William Sullivan [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Pathways to Success, LLCPO Box 6265 Wolcott CT 06716

(203) 819-8705

Stacy Propfe [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Patterson, Glenroy72 Birchwood Road East Hartford CT 06118

(321) 914-7430 (860) 812-2399

Glenroy Patterson, M.S., AB [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Page 31 of 41

Page 32: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Paulsen, Liza25 Sleepy Hollow Drive Monroe CT 06468

(203) 610-0786 (203) 332-4545

Liza Paulsen, RN [email protected]

No

Individual PractitionerNo No

Phon Fax

Provider Type: NoNo

Pepin, Martina7 Fermily Drive Westport CT 06880

(203) 803-6664 (203) 226-5761

Martina Pepin [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Phillips, Sonji1177 High Ridge Road Suite 245 Stamford CT 06905

(855) 778-1262

Sonji Phillips [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Powell, Keisha3 Jessie Lane East Windsor CT 06016

(860) 983-8112

Keisha Powell [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

PrimeCare, Inc.562 Watertown Ave. Waterbury CT 06708

(203) 597-8525 (203) 757-5116

James. M. Kelly [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Psychological Assessment Services21 Hazel Terrace Woodbridge CT 06525

(203) 848-7590 (203) 285-6455

Bina Roginsky [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Quality Behavioral Solutions, LLC46 Glemby Street Hamden CT 06514

(203) 722-9920

Justin Scott [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Page 32 of 41

Page 33: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Radasch, Peter, Psy.D.575 Highland Avenue, 2nd Floor Cheshire CT 06410

(860) 539-0185

Peter Radasch, Psy.D. [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Rankine, Jacquelynn34 Brighton Road Naugatuck CT 06770

(203) 560-6995

Jacquelynn Rankine [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Rebar, Colleen41 Maplewood Drive Clinton CT 06413

(203) 339-5195

Colleen Rebar [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Reliance Health, Inc.40 Broadway Norwich CT 06360

(860) 887-6536 (860) 885-1970

Carrie Dyer [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Resources for Human Development Inc.43 R. Marne Street Hamden CT

(475) 441-7787 (203) 774-7517

Carmen Santiago-Dennison [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Rivera, Nicole7182 Main Street Trumbull CT 06611

((20) 3) -3967 (203) 905-6831

Nicole Rivera [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Rivers, Tabbetha40 Thompson Avenue Waterbury CT 06708

(917) 324-7007 (203) 573-9824

Tabbetha Rivers [email protected]

Yes

individual practitionerNo No

Phon Fax

Provider Type: YesYes

Page 33 of 41

Page 34: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

RMS Development, Inc.808 Four Rod Rd. P.O. Box 7333 Kensington CT 06037

(860) 828-8635 (860) 828-3912

Joseph W. Drexler [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Robin's Nest Intergenerational Daycare, LLC94 High St. Clinton CT 06413

(860) 664-3568 (860) 399-446

E. Robin Twigg [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Russolillo, Patrick154 College Street Middletown CT 06457

(860) 344-9694 (860) 346-2947

Patrick Russolillo, Ph.D. [email protected]

Yes

individual practitionerNo No

Phon Fax

Provider Type: YesYes

S I S T E R S, LLC144 Plainfield Pike Plainfield CT 06374

(860) 564-0100 (860) 564-0104

Kristen Malbaurn [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Samiotes, John G.70 Vandale Street Putnam CT 06260

(860) 428-5316

John G. Samiotes [email protected]

Yes

individual practitionerNo No

Phon Fax

Provider Type: YesYes

SARAH Seneca Residential Services, Inc.15 NE Industrial Road Branford CT 06405

(203) 315-3770 (203) 315-3775

Gregory Gallagher [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

SARAH Tuxis Residential and Community Resources, Inc.45 Boston St. Guilford CT 06437

(203) 458-8532 (203) 453-7717

Elizabeth Kinnare [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 34 of 41

Page 35: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

SARAH, Inc.1620 Boston Post Road, Suite 200 Westbrook CT 06498

(860) 399-1888 (860) 399-0238

Denise Henry [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Seabird Enterprises, Inc.169 Thames St. Groton CT 06340

(860) 446-0882 (860) 446-2930

Lori Neumann [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: NoYes

Senior Care Centers of Connecticut, Inc.900 Straits Turnpike Middlebury CT 06762

(203) 598-7642 (203) 598-0435

Lynn Alexander [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Sharp Training, Inc.78 Howard St. Suite C New London CT 06320

(860) 447-3511 (860) 447-3395

Gabriel Yorio [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Sims, Michele33 Megin Drive Hamden CT 06514

(203) 248-6754

Michele Sims [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

SJ Larsen Consulting, LLC100 Saint Augustine Street Hartford CT 06110

(860) 604-7950 (860) 606-962

Sarah Larsen [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Southeastern Employment Services, LLC7 Halls Road, Unit C Old Lyme CT 06371

(860) 434-0544 (860) 434-1270

Roberta Hurley [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 35 of 41

Page 36: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

St. Catherine Center for Special Needs Inc.760 Tahmore Drive Fairfield CT 06825

(203) 540-5381 (203) 540-5383

Helen Burland [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

St. Francis Hospital/ LifelineMount Sinai Campus 500 Blue Hills Hartford CT 06112

(860) 714-2626 (860) 714-8504

Peter Maxwell [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

St. Vincent's Special Needs Center, Inc.95 Merritt Boulevard Trumbull CT 06611

(203) 375-6400 (203) 380-1190

Dianne Auger-interim [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

STAR, Inc., Lighting The Way…182 Wolfpit Ave. Norwalk CT 06851

(203) 846-9581 (203) 847-0545

Katie Banzhaf [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Steele, KellyPO Box 797 Higganum CT 06441

(860) 836-4070 (860) 554-5350

Kelly Steele [email protected]

Yes

individual practitionerNo No

Phon Fax

Provider Type: YesYes

Stern, Steven, dba Clinical Consultation Services196 Pond Point Avenue Milford CT 06460

(203) 877-3366 (203) 877-9380

Steven Stern [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Sunrise Northeast Opportunities, Inc. (formerly UCP of Gr. Hartford)80 Whitney St. Hartford CT 06105

(860) 236-6201

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Page 36 of 41

Page 37: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Sunrise Northeast, Inc.80 Whitney St. Hartford CT 06105

(860) 236-6201 (860) 236-6205

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Sunset Hill, Inc.139 Estabrooks Rd. Hampton CT 06247

(860) 455-0821

Anne Curry [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Sunset Shores of Milford, Inc.720 Barnum Ave. Cut Off Stratford CT 06614

(203) 380-1228 (203) 380-1481

Gladys Soto [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Supported Living Group LLC, The113 School Street Danielson CT 06239

(860) 774-3400 (860) 412-9232

Christopher Brisson [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Talbert, Linda70 John Street Greenwich CT 06831

(203) 899-0745

Linda Talbert [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Taliceo, Marcy141 Hazard Avenue Enfield CT 06082

(860) 698-6077 (860) 698-6631

Marcy Taliceo [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Tish Hayes Nursing Consultant LLC14 Maxson Street Mystic CT 06355

(860) 558-3052 (800) 881-9943

Tish Hayes [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Page 37 of 41

Page 38: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Transition Services of Fairfield County, LLC169 Monroe Turnpike Monroe CT 06468

(203) 261-4555

Dawn Gray [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Transitional Employment Unlimited, Inc.138 Migeon Avenue Torrington CT 06790

(860) 489-1697 (860) 489-2862

Mimi McGill [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Trevino, Sandra109 Concord Street New Haven CT 06512

(203) 668-8403 (203) 468-6643

Sandra Trevino [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Turning Leaf Agency, Corp.1251 S. Main Street Middletown CT 06457

(860) 346-0771 (860) 346-0772

Yes

AgencyYes No

Phon Fax

Provider Type: YesYes

United Cerebral Palsy Association of Eastern Connecticut, Inc.42 Norwich Rd. Quaker Hill CT 06375

(860) 443-3800 (860) 443-8272

Jennifer Keatley [email protected]

Yes

AgencyNo Yes

Phon Fax

Provider Type: YesYes

United Community & Family Services, Inc.165 McKinley Ave. Norwich CT 06360

(860) 889-1252 (860) 892-2340

Janis Davis [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

VanderMaelen, Ann11 Dean Circle Andover MA 01810

(860) 227-5253 (978) 475-4730

Ann VanderMaelen [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Page 38 of 41

Page 39: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Vangor, Laura7 Avenue D Beacon Falls CT 06403

(203) 982-1246

Laura Vangor [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Vantage Group, Inc. The29 North Plains Hwy Unit 15 Wallingford CT 06492

(203) 234-7737 (203) 793-7817

Rick Pittman [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Viability, Inc.115 Elm Street Suite 214 Enfield CT 06082

(860) 683-2178 (860) 683-2497

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Vinfen Corporation of Connecticut, Inc.860 Prospect Hill Rd. Windsor CT 06095

(860) 688-3165 (860) 688-3196

Robert Crane [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Vista Life Innovations, Inc.107 Bradley Road Madison CT 06443

(860) 399-8080 (860) 339-3103

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Vogl Program for Autism Spectrum Disorders, LLC The2370 Market Street #103 #126 San Francisco CA 94114

(860) 391-5124 (800) 664-5812

Andrew Vogl, M.A., BCBA [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Walker, Nickeisha2 Deerfield Road Ellington CT 06029

(860) 549-4807

Nickeisha Walker [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Page 39 of 41

Page 40: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Waterbury ARC, Inc.1929 East Main St. Waterbury CT 06705

(203) 575-0707 (203) 596-0400

Acting Director: Richard Kal [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Wegner-Vincent, Erin34 Forest Lane Canton CT 06019

(765) 635-0397

Erin Wegner-Vincent, LCSW [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

West Haven Community House Association, Incorporated The227 Elm St. West Haven CT 06516

(203) 934-5221 (203) 937-9052

Patricia Stevens [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

White Rose Home Healthcare Agency, LLC1000 Lafayette Blvd. Suite 201 Bridgeport CT 06604

(203) 683-6055 (203) 916-6427

Jodyann Prendergast, MHA [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Whitney, Robert76 Simpaug Turnpike Redding CT 06896

(203) 438-4719 (203) 885-3256

Robert Whitney [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Whole Life, Inc.216 Broad Street FL 2 New London CT 06320

(860) 886-6900 (860) 574-9100

Sheila Cordock [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Williams, Ryan155 Main Street, Suite 200E Danbury CT 06810

(917) 939-5104

Ryan Williams [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Page 40 of 41

Page 41: DEPARTMENT OF DEVELOPMENTAL SERVICES Qualified Provider … · Ian Burruss ian_p_burruss@hotmail.com Yes Agency No No Phon Fax Provider Type: Yes Yes Ahmed, Ali Khalafalla, M.B.B.cH

Com

panio

n su

pports

Adult D

ay H

ealth

Assiste

d L

ivin

g

* Behavio

ral S

upport S

erv

ices

Gro

up D

ay S

upports (D

SO

)

Health

care

Coord

inatio

n

Independent S

upport B

roker

Indiv

idualize

d D

ay S

upports

Indiv

idualize

d H

om

e S

upports

Inte

rpre

ter S

erv

ices

Nutritio

n

Perso

nal S

upports

Resp

ite

Indiv

. Supporte

d E

mplo

ym

ent

Com

munity

Liv

ing A

rrangem

ent

Tra

nsp

orta

tionProvider Name

Acce

ptin

g N

ew

Indiv

iduals

DEPARTMENT OF DEVELOPMENTAL SERVICESQualified Provider Report

Updated: June 30, 2020

Com

munity

Com

panio

n H

om

e

Contin

uous R

esid

entia

l Support

Pare

ntin

g S

upport

Share

d L

ivin

g

Senio

r Supports

Tra

nsitio

nal E

mplo

ym

ent S

erv

ices

Peer S

upport

Assistiv

e T

ech

nolo

gy

Agency

with

Choice

ABA

PBS

Pro

ject S

EARCH

Inte

rnsh

ip P

rogra

m

Ble

nded S

upports

Cam

p

Custo

mize

d E

mplo

ym

ent S

upports

Gro

up S

upporte

d E

mplo

ym

ent

Liv

e-In

Care

giv

er

Pre

voca

tional S

erv

ices

Rem

ote

Supports

Acce

ptin

g In

div

iduals to

Res P

rog

Acce

ptin

g In

div

toD

ay P

rogra

ms

Windsor Independent Living Association, Inc. (WILA)45 Maple Ave., PO Box 908 Windsor CT 06095

(860) 688-2891

Mari Midlin [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Winebrenner, Elizabeth36 N. Prospect Street Ext. Ansonia CT 06401

(203) 525-6696 (203) 813-7038

Elizabeth Winebrenner [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Winsted Senior Center80 Holabird Avenue Winsted CT 06098

(860) 379-4252 (860) 379-4252

Robin Bardino [email protected]

Yes

AgencyYes No

Phon Fax

Provider Type: YesYes

Wolfe, Vicki280 Trumbull Highway Lebanon CT 06249

(860) 465-9293

Vicki Wolfe [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

Yellow Cab Co. of New London & Groton, Incorporated The176 Cross Road Waterford CT 06385

(860) 443-1655 (860) 437-7889

Kem Bruno [email protected]

Yes

AgencyNo No

Phon Fax

Provider Type: YesYes

Zwicker, Thomas34 Woodlawn Street Hamden CT 06517

(203) 901-0646 (475) 227-2242

Thomas Zwicker [email protected]

Yes

Individual PractitionerNo No

Phon Fax

Provider Type: YesYes

* Select this link for a list of Clinical Behavioral Support Providers qualified to provide PBS and ABA

Page 41 of 41


Top Related