Organization
SKYLINE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA KOSMA BCBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(203) 292-5837
Entity
Organization
Contact information
Practice address
1080 MILL HILL TER, SOUTHPORT, CT 06890-1261
(203) 292-5837
Mailing address
PO BOX 794, SOUTHPORT, CT 06890-0794
(203) 292-5837
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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