| Meaningful Behavior Change LLC | |
|
4009 Congress St Fairfield CT 06824-2040 | |
| (203) 815-7324 | |
| Not Available |
| Full Name | Meaningful Behavior Change LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4009 Congress St, Fairfield, Connecticut |
| Authorized Official Name and Position | Thomas Farnsworth (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2038157324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meaningful Behavior Change LLC 4009 Congress St Fairfield CT 06824-2040 Ph: (203) 815-7324 | Meaningful Behavior Change LLC 4009 Congress St Fairfield CT 06824-2040 Ph: (203) 815-7324 |
| NPI Number | 1649026493 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649026493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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