| Prism Autism Education & Consultation | |
|
160 Farmington Ave Farmington CT 06032-1728 | |
| (860) 495-0126 | |
| Not Available |
| Full Name | Prism Autism Education & Consultation |
|---|---|
| Speciality | Behavior Analyst |
| Location | 160 Farmington Ave, Farmington, Connecticut |
| Authorized Official Name and Position | Rebecca Giammatti (BCBA) |
| Authorized Official Contact | 8604950126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Autism Education & Consultation 160 Farmington Ave Farmington CT 06032-1728 Ph: (860) 495-0126 | Prism Autism Education & Consultation 160 Farmington Ave Farmington CT 06032-1728 Ph: (860) 495-0126 |
| NPI Number | 1609279348 |
|---|---|
| Provider Enumeration Date | 10/08/2014 |
| Last Update Date | 12/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609279348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-12-12663 (Connecticut) | Primary |
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