PETALU'DA AUTISM SERVICES LLC
Managed Care Organizations at Elizabeth Ln, Vernon, CT

License number
Connecticut 11211741
Category
Social Work
Type
Professional
License number
Connecticut 3928518916
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: MISS KEISHA POWELL SPED/CASD
Title: AUTISM THERAPIST
Phone: (860) 983-8112
Address
Address
6 Elizabeth Ln, Vernon, CT 06066
National Provider ID: 1245578475
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PETALU'DA AUTISM SERVICES LLC at bizstanding.com

PETALU'DA AUTISM SERVICES LLC

Vernon, CT

Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Registration:
Jan 14, 2013
Addresses:
6 Elizabeth Ln, Vernon Rockville, CT 06066 (Physical)
6 Elizabeth Ln, Vernon, CT (Mailing)
State ID:
1094761
Business type:
Domestic Limited Liability Company
Consultant, Autism Therapist:
Keisha Powell (Consultant, Autism Therapist), 6 Elizabeth Ln, Vernon, CT (Physical)
Agent:
Keisha S Powell,6 Elizabeth Ln, Vernon Rockville, CT 06066 (Mailing)

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