| Rise Above Behavioral Group Ct Llc | |
|
76 Westbury Park Rd Ste 306e Watertown CT 06795-2779 | |
| (305) 317-2818 | |
| Not Available |
| Full Name | Rise Above Behavioral Group Ct Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 76 Westbury Park Rd Ste 306e, Watertown, Connecticut |
| Authorized Official Name and Position | Jenny Acevedo Usuga (BCBA) |
| Authorized Official Contact | 4752355709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Above Behavioral Group Ct Llc 180 Ne 29th St Apt 903 Miami FL 33137-5236 Ph: (475) 235-5709 | Rise Above Behavioral Group Ct Llc 76 Westbury Park Rd Ste 306e Watertown CT 06795-2779 Ph: (305) 317-2818 |
| NPI Number | 1679334346 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679334346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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