Organization
ABA 4 AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY OLSEN (OWNER)
(603) 732-3415
Entity
Organization
Contact information
Practice address
6 WALTER HILL RD, MONT VERNON, NH 03057-1528
(603) 732-3415
Mailing address
6 WALTER HILL RD, MONT VERNON, NH 03057-1528
(603) 732-3415
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7436
NH
235Z00000X
Speech-Language Pathologist
01003313
NH
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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