Provider Demographics
NPI:1871310300
Name:LE SAGE ABA CONSULTING AND BEHAVIORAL SERVICES LLC
Entity type:Organization
Organization Name:LE SAGE ABA CONSULTING AND BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / BCBA
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LE SAGE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:603-770-1224
Mailing Address - Street 1:9 GILE RD
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03290-5303
Mailing Address - Country:US
Mailing Address - Phone:603-770-1224
Mailing Address - Fax:
Practice Address - Street 1:9 GILE RD
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:NH
Practice Address - Zip Code:03290-5303
Practice Address - Country:US
Practice Address - Phone:603-770-1224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health