| Academic And Behavioral Support, Llc | |
|
27 Candlewood Dr New Fairfield CT 06812-5111 | |
| (518) 598-3547 | |
| Not Available |
| Full Name | Academic And Behavioral Support, Llc |
|---|---|
| Speciality | Assistant Behavior Analyst |
| Location | 27 Candlewood Dr, New Fairfield, Connecticut |
| Authorized Official Name and Position | Mackenzie Brown (PRESIDENT) |
| Authorized Official Contact | 5185983547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Academic And Behavioral Support, Llc 27 Candlewood Dr New Fairfield CT 06812-5111 Ph: (518) 598-3547 | Academic And Behavioral Support, Llc 27 Candlewood Dr New Fairfield CT 06812-5111 Ph: (518) 598-3547 |
| NPI Number | 1720681299 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Certification Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720681299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Secondary |
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