Provider Demographics
NPI:1255119228
Name:MUNDAY BEHAVIORAL SERVICES LLC
Entity type:Organization
Organization Name:MUNDAY BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNDAY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:781-424-5130
Mailing Address - Street 1:12 CROSSROADS PLZ # 370481
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117-9992
Mailing Address - Country:US
Mailing Address - Phone:781-424-5130
Mailing Address - Fax:
Practice Address - Street 1:222 PENN DR
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06119-1044
Practice Address - Country:US
Practice Address - Phone:781-424-5130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty