| Ascend Autism Behavioral Services, Pllc | |
|
243 N Regent St Port Chester NY 10573-2642 | |
| (617) 233-9907 | |
| Not Available |
| Full Name | Ascend Autism Behavioral Services, Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 243 N Regent St, Port Chester, New York |
| Authorized Official Name and Position | Nathan Kronforst (VICE PRESIDENT) |
| Authorized Official Contact | 6172339907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend Autism Behavioral Services, Pllc 243 N Regent St Port Chester NY 10573-2642 Ph: (617) 233-9907 | Ascend Autism Behavioral Services, Pllc 243 N Regent St Port Chester NY 10573-2642 Ph: (617) 233-9907 |
| NPI Number | 1376154690 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376154690 | NPI | - | NPPES |
| 008091107 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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