=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568367688
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CONFLUENCE FAMILY HEALTH & DEVELOPMENT LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/09/2026
-----------------------------------------------------
Last Update Date | 10/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6 PETTINGALE ROAD
-----------------------------------------------------
City | AMHERST
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03031
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-718-6930
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 923 ELM ST # 206
-----------------------------------------------------
City | MANCHESTER
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03101-2003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-718-6930
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KASSANDRA COLEMAN
-----------------------------------------------------
Credential | BCBA, LABA
-----------------------------------------------------
Telephone | 781-718-6930
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------