Organization
INTEGRATED ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGO BERGSTEINSSON (OWNER)
(860) 716-4192
Entity
Organization
Contact information
Practice address
54 MOUNTAIN VIEW AVE, AVON, CT 06001-3812
(860) 716-4192
Mailing address
54 MOUNTAIN VIEW AVE, AVON, CT 06001-3812
(860) 716-4192
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
02/23/2018
Last updated
06/11/2019
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