| Aba 4 Autism | |
|
6 Walter Hill Rd Mont Vernon NH 03057-1528 | |
| (603) 732-3415 | |
| Not Available |
| Full Name | Aba 4 Autism |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6 Walter Hill Rd, Mont Vernon, New Hampshire |
| Authorized Official Name and Position | Perry Olsen (OWNER) |
| Authorized Official Contact | 6037323415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba 4 Autism 6 Walter Hill Rd Mont Vernon NH 03057-1528 Ph: (603) 732-3415 | Aba 4 Autism 6 Walter Hill Rd Mont Vernon NH 03057-1528 Ph: (603) 732-3415 |
| NPI Number | 1477992758 |
|---|---|
| Provider Enumeration Date | 06/19/2013 |
| Last Update Date | 06/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477992758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-10-7436 (New Hampshire) | Primary |
| 235Z00000X | Speech-language Pathologist | 01003313 (New Hampshire) | Secondary |