Provider Demographics
NPI:1639232515
Name:STERN CENTER FOR LANGUAGE & LEARNING
Entity Type:Organization
Organization Name:STERN CENTER FOR LANGUAGE & LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-878-2332
Mailing Address - Street 1:135 ALLEN BROOK LN
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-9209
Mailing Address - Country:US
Mailing Address - Phone:802-878-2332
Mailing Address - Fax:802-878-0230
Practice Address - Street 1:135 ALLEN BROOK LN
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-9209
Practice Address - Country:US
Practice Address - Phone:802-878-2332
Practice Address - Fax:802-878-0230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1013078Medicaid