Healthcare Provider Details

I. General information

NPI: 1568367688
Provider Name (Legal Business Name): CONFLUENCE FAMILY HEALTH & DEVELOPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 PETTINGALE ROAD
AMHERST NH
03031
US

IV. Provider business mailing address

923 ELM ST # 206
MANCHESTER NH
03101-2003
US

V. Phone/Fax

Practice location:
  • Phone: 781-718-6930
  • Fax:
Mailing address:
  • Phone: 781-718-6930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: KASSANDRA COLEMAN
Title or Position: OWNER
Credential: BCBA, LABA
Phone: 781-718-6930