| Winnipesaukee Aba Services, Llc | |
|
84 W Broadway Ste 200 Derry NH 03038-2323 | |
| (603) 491-5294 | |
| Not Available |
| Full Name | Winnipesaukee Aba Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 84 W Broadway Ste 200, Derry, New Hampshire |
| Authorized Official Name and Position | Bradley Winn (OWNER/OPERATOR) |
| Authorized Official Contact | 6034915294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winnipesaukee Aba Services, Llc Po Box 72 Alton NH 03809-0072 Ph: (603) 491-5294 | Winnipesaukee Aba Services, Llc 84 W Broadway Ste 200 Derry NH 03038-2323 Ph: (603) 491-5294 |
| NPI Number | 1760254544 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760254544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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