Provider Demographics
NPI:1023737822
Name:KIND CONNECTIONS ABA LLC
Entity type:Organization
Organization Name:KIND CONNECTIONS ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN PETTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-367-7788
Mailing Address - Street 1:1029 NORTH RD PMB 1016
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085
Mailing Address - Country:US
Mailing Address - Phone:508-367-7788
Mailing Address - Fax:
Practice Address - Street 1:1029 NORTH RD
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-9711
Practice Address - Country:US
Practice Address - Phone:508-367-7788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-24
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty