| Aba Services Of Connecticut, Inc | |
|
1261 Berlin Turnpike Berlin CT 06037 | |
| (475) 414-6699 | |
| (888) 257-1805 |
| Full Name | Aba Services Of Connecticut, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1261 Berlin Turnpike, Berlin, Connecticut |
| Authorized Official Name and Position | Marina Azimova (OWNER, EXECUTIVE DIRECTOR OF CLINIC) |
| Authorized Official Contact | 5704171561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Services Of Connecticut, Inc 1261 Berlin Turnpike Berlin CT 06037 Ph: (475) 414-6699 | Aba Services Of Connecticut, Inc 1261 Berlin Turnpike Berlin CT 06037 Ph: (475) 414-6699 |
| NPI Number | 1023557055 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023557055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 11212036 (Connecticut) | Primary |
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