Organization
ASCEND AUTISM BEHAVIORAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN KRONFORST (VICE PRESIDENT)
(617) 233-9907
Entity
Organization
Contact information
Practice address
243 N REGENT ST, PORT CHESTER, NY 10573-2642
(617) 233-9907
Mailing address
243 N REGENT ST, PORT CHESTER, NY 10573-2642
(617) 233-9907
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008091107
—
CT
Enumeration date
08/11/2020
Last updated
08/11/2020
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