| Northeast Behavioral Associates Of Ct. Inc. | |
|
769 Newfield St Ste 5 Middletown CT 06457-1846 | |
| (860) 754-7735 | |
| Not Available |
| Full Name | Northeast Behavioral Associates Of Ct. Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 769 Newfield St Ste 5, Middletown, Connecticut |
| Authorized Official Name and Position | Peter C. Patch (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8607547735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Behavioral Associates Of Ct. Inc. 68 Hebron Ave Attleboro MA 02703-7241 Ph: (781) 929-0553 | Northeast Behavioral Associates Of Ct. Inc. 769 Newfield St Ste 5 Middletown CT 06457-1846 Ph: (860) 754-7735 |
| NPI Number | 1851629497 |
|---|---|
| Provider Enumeration Date | 11/19/2009 |
| Last Update Date | 07/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851629497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-01-0652 (Massachusetts) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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