Provider Demographics
NPI:1689150385
Name:UNITED BEHAVIORAL SOLUTIONS, LLC
Entity type:Organization
Organization Name:UNITED BEHAVIORAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PETREMONT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-720-1629
Mailing Address - Street 1:285 SAVIN AVE APT A7
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-5832
Mailing Address - Country:US
Mailing Address - Phone:412-720-1629
Mailing Address - Fax:
Practice Address - Street 1:285 SAVIN AVE APT A7
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-5832
Practice Address - Country:US
Practice Address - Phone:412-720-1629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1-15-21110251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health