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Fun 2b Free LLC

Behavior Analyst in Cheshire, CT. Organization (NPI-2).

NPI number1982201927
StatusActive
Last updated in NPPESOct 2, 2020

Details

NPI
1982201927
Entity type
Organization (NPI-2)
Legal business name
Fun 2b Free LLC
Organization subpart
No
Enumeration date
Oct 2, 2020
Certification date
Oct 2, 2020
Last updated
Oct 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
1041C0700X Social Worker, Clinical––
171000000X Military Health Care Provider––
225XM0800X Occupational Therapist, Mental Health––

Practice location

150 Victoria Dr
Cheshire, CT 06410-7126

Phone 203-819-2025

Mailing address

150 Victoria Dr
Cheshire, CT 06410-7126

Phone 203-819-2025

Authorized official

Tammy Jackson
Owner
2038192025

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