Organization
APPLIED BEHAVIORAL SCIENCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER D RADASCH PSY.D. (VICE PRESIDENT)
(860) 236-7333
Entity
Organization
Contact information
Practice address
68 S MAIN ST BSMT 100, WEST HARTFORD, CT 06107-2430
(860) 236-7333
(203) 439-2087
Mailing address
68 S MAIN ST BSMT 100, WEST HARTFORD, CT 06107-2430
(860) 236-7333
(203) 439-2087
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002295
CT
103TF0200X
Forensic Psychologist
002394
CT
1041C0700X
Clinical Social Worker
006385
CT
Other
Enumeration date
02/03/2007
Last updated
02/06/2019
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