| Fun 2b Free Llc | |
|
150 Victoria Dr Cheshire CT 06410-7126 | |
| (203) 819-2025 | |
| Not Available |
| Full Name | Fun 2b Free Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 150 Victoria Dr, Cheshire, Connecticut |
| Authorized Official Name and Position | Tammy Jackson (OWNER) |
| Authorized Official Contact | 2038192025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fun 2b Free Llc 150 Victoria Dr Cheshire CT 06410-7126 Ph: (203) 819-2025 | Fun 2b Free Llc 150 Victoria Dr Cheshire CT 06410-7126 Ph: (203) 819-2025 |
| NPI Number | 1982201927 |
|---|---|
| Provider Enumeration Date | 10/02/2020 |
| Last Update Date | 10/02/2020 |
| Certification Date | 10/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982201927 | NPI | - | NPPES |
| 1251258 | Other | CT | STATE INCOME ID |
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