Individual Practitioners
 
Maintaining Status as a Qualified Individual Practitioner

 

Submit the following documents via email to dds.provider.profiles@ct.gov

Description Documents
Clinical License/Certificate Renewal 
  • Clinical Behavioral Consultant - submit copy of current clinical license and/or BCBA certificate when renewed.

  • Healthcare Coordination – submit copy of current clinical license when renewed.
Connecticut Developmental Services

460 Capitol Avenue
Hartford Connecticut 06106