Active NPIOrganization

Illumine Collaborative, LLC

Behavior Analyst in Lyndonville, Vermont

NPI Number1972261857
Practice location
2335 Peak RD, Lyndonville, VT 05851-9546
Fax
—
Last updated
December 7, 2021

Illumine Collaborative, LLC is a healthcare organization based in Lyndonville, VT. Illumine Collaborative, LLC practices in Lyndonville, VT. The NPI Number for Illumine Collaborative, LLC is 1972261857. The current practice location address for Illumine Collaborative, LLC is 2335 Peak RD, Lyndonville, VT 05851-9546 and can be reached out via phone at 203-233-5497.

Provider Profile Details

NPI Number
1972261857
Provider Name
Illumine Collaborative, LLC
Provider Entity Type
Organization
Address
2335 Peak RD, Lyndonville, VT 05851-9546
Phone Number
203-233-5497
Primary Taxonomy
Behavior Analyst · 103K00000X
Organization Subpart
No
Authorized Official
Tenisa Turnbaugh, BCBA · Owner/Director · 203-233-5497
Provider Enumeration Date
December 7, 2021
Last Update Date
December 7, 2021
Certification Date
December 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
2335 Peak RD
Lyndonville, VT 05851-9546
State
Vermont
Zip
05851-9546
Phone Number
203-233-5497
Lyndonville, VT 05851Get directions →

Provider Business Mailing Address Details

Address
34 Deer Hill RD
Southbury, CT 06488-1124
City
Southbury
State
CT
Zip
06488-1124
Phone Number
203-233-5497

License Information

Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Illumine Collaborative, LLC?

The NPI number of Illumine Collaborative, LLC is 1972261857. It was assigned on December 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Illumine Collaborative, LLC?

Illumine Collaborative, LLC is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Illumine Collaborative, LLC practice?

The practice location is 2335 Peak RD, Lyndonville, VT 05851-9546. The office can be reached at 203-233-5497 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972261857 directly on the NPPES registry website.

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