| Ssp Aba Site One Llc | |
|
880 Pacific St Apt 1712 Stamford CT 06902-0721 | |
| (516) 353-4999 | |
| Not Available |
| Full Name | Ssp Aba Site One Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 880 Pacific St Apt 1712, Stamford, Connecticut |
| Authorized Official Name and Position | Michael Kuchta (CEO) |
| Authorized Official Contact | 5163534999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssp Aba Site One Llc 880 Pacific St Apt 1712 Stamford CT 06902-0721 Ph: () - | Ssp Aba Site One Llc 880 Pacific St Apt 1712 Stamford CT 06902-0721 Ph: (516) 353-4999 |
| NPI Number | 1104518984 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104518984 | NPI | - | NPPES |
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