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Organization
INTERNACIONAL CLINICAL SERVICES & BEHAVIOR HEALTH SPECIALIST
Active
Organization
INTERNACIONAL CLINICAL SERVICES & BEHAVIOR HEALTH SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIADNA PATINO (CEO)
(203) 361-9099
Entity
Organization
Contact information
Practice address
6 IANNOTTI LN, DERBY, CT 06418-2215
(203) 361-9099
Mailing address
6 IANNOTTI LN, DERBY, CT 06418-2215
(203) 361-9099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
251E00000X
Home Health Agency
Primary
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
Other
Enumeration date
11/13/2023
Last updated
11/26/2023
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