Organization
PRISM AUTISM EDUCATION & CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA GIAMMATTI BCBA (BCBA)
(860) 495-0126
Entity
Organization
Contact information
Practice address
160 FARMINGTON AVE, FARMINGTON, CT 06032-1728
(860) 495-0126
Mailing address
160 FARMINGTON AVE, FARMINGTON, CT 06032-1728
(860) 495-0126
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12663
CT
Other
Enumeration date
10/08/2014
Last updated
12/03/2018
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