| The Kennedy Collective, Inc. | |
|
2440 Reservoir Ave Trumbull CT 06611-4757 | |
| (203) 365-8522 | |
| Not Available |
| Full Name | The Kennedy Collective, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2440 Reservoir Ave, Trumbull, Connecticut |
| Authorized Official Name and Position | Richard Sebastian (PRESIDENT AND CEO) |
| Authorized Official Contact | 2033658522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Kennedy Collective, Inc. 2440 Reservoir Ave Trumbull CT 06611-4757 Ph: (203) 365-8522 | The Kennedy Collective, Inc. 2440 Reservoir Ave Trumbull CT 06611-4757 Ph: (203) 365-8522 |
| NPI Number | 1326506072 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326506072 | NPI | - | NPPES |
| 004186054 | Medicaid | CT |
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