Creative Potential LLC

Behavior Analyst · Uncasville, CT

Organization Active NPI

NPI number 1730536996

Practice location

1031 Norwich New London Tpke Unit 1o
Uncasville, CT 06382-1600
Phone
(860) 848-0514
Fax
(860) 848-0523

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NPI record

NPI
1730536996
Entity type
Organization (Type 2)
Enumeration date
May 18, 2016
Last updated
February 21, 2020
Certified
February 21, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

1031 Norwich New London Tpke Unit 10
Uncasville, CT 06382-1600
Phone
(860) 961-7238
Fax
(860) 848-0523

Authorized official

Name
Sierra R Davis, MS
Title
Owner
Phone
(860) 848-0514

Other practice locations (1)

  • 154 Hempstead St Fl 1, 1st floor, New London, CT 06320-5638 · (860) 961-7238

About Creative Potential LLC

Creative Potential LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1031 Norwich New London Tpke Unit 1o, Uncasville, CT 06382-1600. The NPI number 1730536996 was assigned on May 18, 2016 and the record was last updated on February 21, 2020.

The authorized official for this organization is Sierra R Davis, MS, Owner.

Frequently asked questions

What is the NPI number of Creative Potential LLC?

The NPI number is 1730536996.

What is the phone number of Creative Potential LLC?

The phone number listed for the practice location is (860) 848-0514.

Where is Creative Potential LLC located?

1031 Norwich New London Tpke Unit 1o, Uncasville, CT 06382-1600.

What is the taxonomy code for Creative Potential LLC?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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