| Sallyz Applied Behavior Services Llc | |
|
2 Deerfield Rd Ellington CT 06029-3207 | |
| (860) 549-4807 | |
| Not Available |
| Full Name | Sallyz Applied Behavior Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2 Deerfield Rd, Ellington, Connecticut |
| Authorized Official Name and Position | Nickeisha Walker (BEHAVIOR ANALYST) |
| Authorized Official Contact | 8605494807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sallyz Applied Behavior Services Llc 2 Deerfield Rd Ellington CT 06029-3207 Ph: (860) 549-4807 | Sallyz Applied Behavior Services Llc 2 Deerfield Rd Ellington CT 06029-3207 Ph: (860) 549-4807 |
| NPI Number | 1356813950 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 12/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356813950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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