Organization
BEHAVIOR SERVICES OF NEW ENGLAND
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WEINBERG PH.D., LP, BCBA-D (MANAGER)
(860) 315-0565
Entity
Organization
Contact information
Practice address
185 FABYAN RD, NORTH GROSVENORDALE, CT 06255-1506
(860) 315-0565
(860) 315-0565
Mailing address
185 FABYAN RD, NORTH GROSVENORDALE, CT 06255-1506
(860) 315-0565
(860) 315-0565
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
002562
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851572598
—
CT
Enumeration date
01/27/2015
Last updated
01/27/2015
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