| Optimized Autism Interventions, Llc | |
|
97 Derek Dr Tolland CT 06084-2631 | |
| (860) 896-3885 | |
| Not Available |
| Full Name | Optimized Autism Interventions, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 97 Derek Dr, Tolland, Connecticut |
| Authorized Official Name and Position | Audrey Gifford (CLINICAL PROGRAM DIRECTOR/OWNER) |
| Authorized Official Contact | 8608968335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimized Autism Interventions, Llc Po Box 386 Tolland CT 06084-0386 Ph: (860) 896-8335 | Optimized Autism Interventions, Llc 97 Derek Dr Tolland CT 06084-2631 Ph: (860) 896-3885 |
| NPI Number | 1679934772 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 03/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679934772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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