Provider Demographics
NPI:1265787097
Name:LINKED-UP ACADEMY
Entity type:Organization
Organization Name:LINKED-UP ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL PSYCHOLOGIST/ABA SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBONE
Authorized Official - Suffix:
Authorized Official - Credentials:CSP
Authorized Official - Phone:914-374-2601
Mailing Address - Street 1:85 CAMP AVE APT 11D
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06907-1840
Mailing Address - Country:US
Mailing Address - Phone:914-374-2601
Mailing Address - Fax:
Practice Address - Street 1:85 CAMP AVE APT 11D
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06907-1840
Practice Address - Country:US
Practice Address - Phone:914-374-2601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT070103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty