Organization
INNOVATIVE AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCELA O NUNEZ BCBA (DIRECTOR OF SERVICES)
(860) 351-5407
Entity
Organization
Contact information
Practice address
56 W MAIN ST, PLAINVILLE, CT 06062-1904
(860) 351-5407
(860) 351-5774
Mailing address
56 W MAIN ST, PLAINVILLE, CT 06062-1904
(860) 351-5407
(860) 351-5774
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1386
FL
Other
Enumeration date
05/12/2010
Last updated
05/12/2016
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