# INTERNACIONAL CLINICAL SERVICES & BEHAVIOR HEALTH SPECIALIST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083488738
- **Authorized official:** ARIADNA PATINO (CEO)
- **Authorized official phone:** (203) 361-9099

## Contact information

- **Practice address:** 6 IANNOTTI LN, DERBY, CT 06418-2215
- **Practice address phone:** (203) 361-9099
- **Mailing address:** 6 IANNOTTI LN, DERBY, CT 06418-2215
- **Mailing address phone:** (203) 361-9099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 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