Organization
AUTISM SPARKLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSE MARIE ENDERLE BCBA/LBA (OWNER/BCBA)
(860) 462-7322
Entity
Organization
Contact information
Practice address
19 S GEORGE WASHINGTON RD, ENFIELD, CT 06082-4541
(860) 462-7322
Mailing address
19 S GEORGE WASHINGTON RD, ENFIELD, CT 06082-4541
(860) 462-7322
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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