Organization
AUTISM RESTWISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATANIELLE RAE HATFIELD BCBA (OWNER)
(860) 710-0516
Entity
Organization
Contact information
Practice address
311 RIDGEWOOD DR, MYSTIC, CT 06355-2032
(860) 710-0516
Mailing address
311 RIDGEWOOD DR, MYSTIC, CT 06355-2032
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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