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Organization

COLLABORATIVE ABA SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALISHA SIMPSON-WATT LCSW, BCBA, LBA (DIRECTOR/OWNER)
(860) 740-2547
Entity
Organization

Contact information

Practice address
770 SAYBROOK RD UNIT B4, MIDDLETOWN, CT 06457-4739
(860) 421-4052
(860) 421-4053
Mailing address
770 SAYBROOK RD UNIT B4, MIDDLETOWN, CT 06457-4739
(860) 421-4052
(860) 421-4053

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1041C0700X
Clinical Social Worker
Primary
225X00000X
Occupational Therapist

Other

Enumeration date
06/27/2019
Last updated
10/23/2023
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