Trading Spaces Aba, Llc

LBN: Trading Spaces Aba, Llc
Trading Spaces Aba, Llc is an health care organization with primary practice located at 72 Birchwood Rd , East Hartford CT 06118-1702. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Trading Spaces Aba, Llc can be contacted via phone (321) 914-7430, or through Patterson, Glenroy Patrick via phone (321) 914-7430.

Contact Information

Primary practice address
72 Birchwood Rd East Hartford CT 06118-1702
Phone: (321) 914-7430
Fax: (860) 812-2399
Website:
Map and Directions
Authorized official contact:
Name: Patterson, Glenroy Patrick BCBS
Phone: (321) 914-7430

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 11211741 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X Connecticut

Profile Details

NPI number 1417325374
LBN Legal business name Trading Spaces Aba, Llc
DBA Doing business as
Authorized official Patterson, Glenroy Patrick BCBS
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2015
Last updated Sep 9th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417325374 NPPES
Connecticut MEDICAID 008059673

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