| Autism & Behavioral Health Llc | |
|
12 Browning Cir Middletown DE 19709-1660 | |
| (862) 215-3417 | |
| Not Available |
| Full Name | Autism & Behavioral Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12 Browning Cir, Middletown, Delaware |
| Authorized Official Name and Position | Rose Ngatia (DIRECTOR) |
| Authorized Official Contact | 8622153417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism & Behavioral Health Llc 12 Browning Cir Middletown DE 19709-1660 Ph: (862) 215-3417 | Autism & Behavioral Health Llc 12 Browning Cir Middletown DE 19709-1660 Ph: (862) 215-3417 |
| NPI Number | 1790548709 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 8022456219 |
|---|---|
| Medicare Enrollment ID | O20240408000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790548709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Rose Ngatia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356053177 PECOS PAC ID: 9931547122 Enrollment ID: I20240408000528 |
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