| Autism Restwise Llc | |
|
311 Ridgewood Dr Mystic CT 06355-2032 | |
| (860) 710-0516 | |
| Not Available |
| Full Name | Autism Restwise Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 311 Ridgewood Dr, Mystic, Connecticut |
| Authorized Official Name and Position | Natanielle Rae Hatfield (OWNER) |
| Authorized Official Contact | 8607100516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Restwise Llc 311 Ridgewood Dr Mystic CT 06355-2032 Ph: () - | Autism Restwise Llc 311 Ridgewood Dr Mystic CT 06355-2032 Ph: (860) 710-0516 |
| NPI Number | 1780405258 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780405258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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