| Brave, Llc | |
|
23 Harness Dr Southington CT 06489-1863 | |
| (860) 778-4514 | |
| Not Available |
| Full Name | Brave, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 23 Harness Dr, Southington, Connecticut |
| Authorized Official Name and Position | Candace Leigh O'sullivan (FOUNDER) |
| Authorized Official Contact | 8607784514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave, Llc 23 Harness Dr Southington CT 06489-1863 Ph: (860) 778-4514 | Brave, Llc 23 Harness Dr Southington CT 06489-1863 Ph: (860) 778-4514 |
| NPI Number | 1639808827 |
|---|---|
| Provider Enumeration Date | 06/06/2022 |
| Last Update Date | 06/06/2022 |
| Certification Date | 06/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639808827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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