Organization
ILLUMINE COLLABORATIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENISA TURNBAUGH BCBA (OWNER/DIRECTOR)
(203) 233-5497
Entity
Organization
Contact information
Practice address
2335 PEAK RD, LYNDONVILLE, VT 05851-9546
(203) 233-5497
Mailing address
34 DEER HILL RD, SOUTHBURY, CT 06488-1124
(203) 233-5497
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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