| Effective Aba | |
|
1011 Hope St Stamford CT 06907-2121 | |
| (203) 539-1541 | |
| Not Available |
| Full Name | Effective Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1011 Hope St, Stamford, Connecticut |
| Authorized Official Name and Position | Allison Tables (OWNER) |
| Authorized Official Contact | 6178349969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Effective Aba 1011 Hope St Stamford CT 06907-2121 Ph: (203) 539-1541 | Effective Aba 1011 Hope St Stamford CT 06907-2121 Ph: (203) 539-1541 |
| NPI Number | 1922770999 |
|---|---|
| Provider Enumeration Date | 09/29/2021 |
| Last Update Date | 09/29/2021 |
| Certification Date | 09/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922770999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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