Crec River Street Autism Program At Coltsville

NPI 1154607208 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1154607208
Enumeration Date 11/02/2011
Last Updated 11/02/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name THOMAS THOMAS
Position DIRECTOR
Phone (860) 298-9079
Fax (860) 722-9438
Practice Location
111 CHARTER OAK AVE
HARTFORD CT, 06106-1912, US
Phone (860) 298-9079
Fax (860) 722-9438
Business Location
111 CHARTER OAK AVE
HARTFORD CT, 06106-1912, US
Phone (860) 298-9079
Fax (860) 722-9438
Toxanomy
Taxonomy Code 103K00000X
License State Connecticut
License Number 1000342
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According to our database, Crec River Street Autism Program At Coltsville NPI is 1154607208, taxonomy code is 103K00000X and license number is 1000342, license state is located at Connecticut. Crec River Street Autism Program At Coltsville physically located at 111 Charter Oak Ave, Hartford CT, 06106-1912. NPI Number 1033115704 has the healthcare provider type.

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1154607208 NPI number is provided on an as is basis without warranty of any kind. 1154607208 is maintained by the National Plan & Provider Enumeration System. The contents of Crec River Street Autism Program At Coltsville are for informational purposes only.