| Ssp Aba Site Two Llc | |
|
6 Briar Oak Dr Weston CT 06883-2719 | |
| (516) 353-4999 | |
| Not Available |
| Full Name | Ssp Aba Site Two Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6 Briar Oak Dr, Weston, Connecticut |
| Authorized Official Name and Position | Michael Kuchta (CEO) |
| Authorized Official Contact | 5163534999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssp Aba Site Two Llc 6 Briar Oak Dr Weston CT 06883-2719 Ph: (516) 353-4999 | Ssp Aba Site Two Llc 6 Briar Oak Dr Weston CT 06883-2719 Ph: (516) 353-4999 |
| NPI Number | 1063232395 |
|---|---|
| Provider Enumeration Date | 10/11/2024 |
| Last Update Date | 10/11/2024 |
| Certification Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063232395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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