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Contact Information

THE KENNEDY COLLECTIVE, INC.
2440 RESERVOIR AVE
TRUMBULL, CT06611-4757
 Phone: 203-365-8522
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Assistant Behavior Analyst

106E00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for THE KENNEDY COLLECTIVE, INC.

NPI # 1326506072
LBN Legal business name THE KENNEDY COLLECTIVE, INC.
Authorized official RICHARD SEBASTIAN - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/12/2019
Last updated 03/28/2024 - About 2 years ago
Identifiers
CT Medicaid 004186054
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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