| Health Care & Rehabilitation Services Of Se Vt Inc. | |
|
390 River St Springfield VT 05156-2226 | |
| (802) 886-4500 | |
| (802) 886-4520 |
| Full Name | Health Care & Rehabilitation Services Of Se Vt Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 390 River St, Springfield, Vermont |
| Authorized Official Name and Position | Edmund H. Moore (CFO) |
| Authorized Official Contact | 8028864567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Care & Rehabilitation Services Of Se Vt Inc. 390 River St Springfield VT 05156-2226 Ph: (802) 886-4500 | Health Care & Rehabilitation Services Of Se Vt Inc. 390 River St Springfield VT 05156-2226 Ph: (802) 886-4500 |
| NPI Number | 1356951412 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 08/18/2020 |
| Certification Date | 08/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356951412 | NPI | - | NPPES |
| 0006166 | Medicaid | VT | |
| 6704507 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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