| Behavioral Spectrum Care Atl, Llc | |
|
377 Main St 2nd Fl West Haven CT 06516 | |
| (203) 889-7338 | |
| Not Available |
| Full Name | Behavioral Spectrum Care Atl, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 377 Main St 2nd Fl, West Haven, Connecticut |
| Authorized Official Name and Position | Samantha Sek (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2038897338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Spectrum Care Atl, Llc 55 Prospect Ave West Haven CT 06516-6447 Ph: (203) 889-7338 | Behavioral Spectrum Care Atl, Llc 377 Main St 2nd Fl West Haven CT 06516 Ph: (203) 889-7338 |
| NPI Number | 1902491343 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/08/2021 |
| Certification Date | 02/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902491343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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