| Pride And Joy Aba Interventions And Consulting Llc | |
|
121 Broadway St Ste 4 Colchester CT 06415-1052 | |
| (860) 245-1519 | |
| (860) 969-4552 |
| Full Name | Pride And Joy Aba Interventions And Consulting Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 121 Broadway St Ste 4, Colchester, Connecticut |
| Authorized Official Name and Position | Melisa Roya Powell (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8602451519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pride And Joy Aba Interventions And Consulting Llc 121 Broadway St Ste 4 Colchester CT 06415-1052 Ph: (860) 245-1519 | Pride And Joy Aba Interventions And Consulting Llc 121 Broadway St Ste 4 Colchester CT 06415-1052 Ph: (860) 245-1519 |
| NPI Number | 1902645294 |
|---|---|
| Provider Enumeration Date | 05/24/2024 |
| Last Update Date | 12/02/2024 |
| Certification Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902645294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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