| Prestige Aba Therapy Services, Inc | |
|
855 Waterman Ave Ste D East Providence RI 02914-1700 | |
| (401) 219-1351 | |
| (401) 210-1850 |
| Full Name | Prestige Aba Therapy Services, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 855 Waterman Ave Ste D, East Providence, Rhode Island |
| Authorized Official Name and Position | Courtney Langello (OWNER) |
| Authorized Official Contact | 4016780243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Aba Therapy Services, Inc 2461 Pawtucket Ave East Providence RI 02914-3221 Ph: (401) 678-0243 | Prestige Aba Therapy Services, Inc 855 Waterman Ave Ste D East Providence RI 02914-1700 Ph: (401) 219-1351 |
| NPI Number | 1407459233 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407459233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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