| Pearl Aba Llc | |
|
47 Rowland Rd Old Lyme CT 06371-1520 | |
| (203) 988-1305 | |
| Not Available |
| Full Name | Pearl Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 47 Rowland Rd, Old Lyme, Connecticut |
| Authorized Official Name and Position | Kristin Holland (OWNER) |
| Authorized Official Contact | 2039881305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Aba Llc 47 Rowland Rd Old Lyme CT 06371-1520 Ph: (203) 988-1305 | Pearl Aba Llc 47 Rowland Rd Old Lyme CT 06371-1520 Ph: (203) 988-1305 |
| NPI Number | 1902642036 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902642036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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