Organization
TRADING SPACES ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENROY PATRICK PATTERSON (CEO)
(860) 430-1340
Entity
Organization
Contact information
Practice address
437 NAUBUC AVE, STE. 105, GLASTONBURY, CT 06033-1080
(321) 914-7430
(660) 812-2399
Mailing address
2800 MAIN STREET, GLASTONBURY, CT 06033-1080
(860) 430-1340
(860) 812-2399
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/29/2015
Last updated
03/04/2019
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