Organization
NORTHEAST BEHAVIORAL ASSOCIATES OF CT. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER C. PATCH PSYD (EXECUTIVE DIRECTOR)
(860) 754-7735
Entity
Organization
Contact information
Practice address
769 NEWFIELD ST STE 5, MIDDLETOWN, CT 06457-1846
(860) 754-7735
Mailing address
68 HEBRON AVE, ATTLEBORO, MA 02703-7241
(781) 929-0553
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-01-0652
MA
251S00000X
Community/Behavioral Health Agency
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—
Other
Enumeration date
11/19/2009
Last updated
07/12/2010
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