| Skyline Behavioral Health | |
|
1080 Mill Hill Ter Southport CT 06890-1261 | |
| (203) 292-5837 | |
| Not Available |
| Full Name | Skyline Behavioral Health |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1080 Mill Hill Ter, Southport, Connecticut |
| Authorized Official Name and Position | Alexandra Kosma (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 2032925837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyline Behavioral Health Po Box 794 Southport CT 06890-0794 Ph: (203) 292-5837 | Skyline Behavioral Health 1080 Mill Hill Ter Southport CT 06890-1261 Ph: (203) 292-5837 |
| NPI Number | 1740776111 |
|---|---|
| Provider Enumeration Date | 07/09/2018 |
| Last Update Date | 07/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740776111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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