Illumine Collaborative, LLC

Behavior Analyst · Lyndonville, VT

Organization Active NPI

NPI number 1972261857

Practice location

2335 Peak Rd
Lyndonville, VT 05851-9546
Phone
(203) 233-5497

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NPI record

NPI
1972261857
Entity type
Organization (Type 2)
Enumeration date
December 7, 2021
Last updated
December 7, 2021
Certified
December 7, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

34 Deer Hill Rd
Southbury, CT 06488-1124
Phone
(203) 233-5497

Authorized official

Name
Tenisa Turnbaugh, BCBA
Title
Owner/Director
Phone
(203) 233-5497

About Illumine Collaborative, LLC

Illumine Collaborative, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 2335 Peak Rd, Lyndonville, VT 05851-9546. The NPI number 1972261857 was assigned on December 7, 2021 and the record was last updated on December 7, 2021.

The authorized official for this organization is Tenisa Turnbaugh, BCBA, Owner/Director.

Frequently asked questions

What is the NPI number of Illumine Collaborative, LLC?

The NPI number is 1972261857.

What is the phone number of Illumine Collaborative, LLC?

The phone number listed for the practice location is (203) 233-5497.

Where is Illumine Collaborative, LLC located?

2335 Peak Rd, Lyndonville, VT 05851-9546.

What is the taxonomy code for Illumine Collaborative, 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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