Autism Restwise LLC

Organization Active NPI Behavior Analyst · Mystic, CT

NPI 1780405258 · NPPES record last updated Oct 17, 2024

Key facts

NPI
1780405258
Entity type
Organization (NPI type 2)
Primary specialty
Behavior Analyst 103K00000X
Legal business name
AUTISM RESTWISE LLC
Practice address
311 Ridgewood Dr
Mystic, CT 06355-2032
Phone
(860) 710-0516
NPI assigned
Oct 17, 2024
Organization subpart
No

Authorized official

Name
Natanielle Rae Hatfield, BCBA
Title
Owner
Phone
(860) 710-0516

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193400000X SINGLE SPECIALTY GROUP
103K00000X Yes

Addresses

Primary practice location

311 Ridgewood Dr
Mystic, CT 06355-2032

Mailing address

311 Ridgewood Dr
Mystic, CT 06355-2032

Other providers in Mystic, CT

All providers in Mystic, CT · Behavior Analyst in Connecticut

Sources for this page

Verify at the official NPI Registry.