| Innovative Autism Services | |
|
56 W Main St Plainville CT 06062-1904 | |
| (860) 351-5047 | |
| Not Available |
| Full Name | Innovative Autism Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 56 W Main St, Plainville, Connecticut |
| Authorized Official Name and Position | Marcela O Nunez (DIRECTOR OF SERVICES) |
| Authorized Official Contact | 8603515407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Autism Services 56 W Main St Plainville CT 06062-1904 Ph: () - | Innovative Autism Services 56 W Main St Plainville CT 06062-1904 Ph: (860) 351-5047 |
| NPI Number | 1124541529 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 07/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124541529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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