| NPI | 1023557055 |
|---|---|
| Former Legal Business Name | APPLIED BEHAVIOR ANALYSIS SERVICES OF CT |
| Entity Type | Organization |
| Authorized Contact | MARINA AZIMOVA Owner, Executive Director Of Clinic 570-417-1561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CT 11212036) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2023-04-12 |