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Organization

CONSTELLATIONS BEHAVIORAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY HEALD MBA (EXECUTIVE DIRECTOR)
(800) 778-5560
Entity
Organization

Contact information

Practice address
200 GRIFFIN RD, SUITE 5, PORTSMOUTH, NH 03801
(800) 778-5560
Mailing address
200 GRIFFIN RD, SUITE 5, PORTSMOUTH, NH 03801-7145
(800) 778-5560

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
0435
NH
225XP0200X
Pediatric Occupational Therapist
0435
NH
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/10/2010
Last updated
05/30/2018
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