| Lacuna Autism Services Llc | |
|
139 Orange St New Haven CT 06510-3140 | |
| (888) 611-0870 | |
| (888) 714-4996 |
| Full Name | Lacuna Autism Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 139 Orange St, New Haven, Connecticut |
| Authorized Official Name and Position | Joseph Creager (PRESIDENT) |
| Authorized Official Contact | 8886110870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacuna Autism Services Llc 830 Tenderfoot Hill Rd Ste 100 Colorado Springs CO 80906-7372 Ph: (888) 611-0870 | Lacuna Autism Services Llc 139 Orange St New Haven CT 06510-3140 Ph: (888) 611-0870 |
| NPI Number | 1013736107 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013736107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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