| Autism Sparkles Llc | |
|
19 S George Washington Rd Enfield CT 06082-4541 | |
| (860) 462-7322 | |
| Not Available |
| Full Name | Autism Sparkles Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 19 S George Washington Rd, Enfield, Connecticut |
| Authorized Official Name and Position | Alyse Marie Enderle (OWNER/BCBA) |
| Authorized Official Contact | 8604627322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Sparkles Llc 19 S George Washington Rd Enfield CT 06082-4541 Ph: (860) 462-7322 | Autism Sparkles Llc 19 S George Washington Rd Enfield CT 06082-4541 Ph: (860) 462-7322 |
| NPI Number | 1184386120 |
|---|---|
| Provider Enumeration Date | 10/07/2021 |
| Last Update Date | 10/07/2021 |
| Certification Date | 10/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184386120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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