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Contact Information

FUN 2B FREE LLC
150 VICTORIA DR
CHESHIRE, CT06410-7126
 Phone: 203-819-2025
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

225XM0800X 67 Occupational Therapist in Private Practice
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for FUN 2B FREE LLC

NPI Number 1982201927
LBN Legal business name FUN 2B FREE LLC
Authorized official TAMMY JACKSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2020
Last updated 10/02/2020 - About 6 years ago
Identifiers
CT Other 1251258 STATE INCOME ID
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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