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Organization

COMMONWEALTH CONNECTIONS

Active
Other names
Commonwealth Connections, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SARAH M ROBY (EXECUTIVE DIRECTOR)
(270) 314-7667
Entity
Organization

Contact information

Practice address
3015 AUTUMN LAKE CV, OWENSBORO, KY 42303-4464
(270) 314-7667
Mailing address
3015 AUTUMN LAKE CV, OWENSBORO, KY 42303-4464
(270) 314-7667

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
06/21/2022
Last updated
06/21/2022
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