Organization
OPTIMIZED AUTISM INTERVENTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY GIFFORD BCBA (CLINICAL PROGRAM DIRECTOR/OWNER)
(860) 896-8335
Entity
Organization
Contact information
Practice address
97 DEREK DR, TOLLAND, CT 06084-2631
(860) 896-3885
Mailing address
PO BOX 386, TOLLAND, CT 06084-0386
(860) 896-8335
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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