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NPI Code Detail

MEDICARE: CONNECTIONS THERAPY GROUP

MEDICARE: CONNECTIONS THERAPY GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1366371395
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONNECTIONS THERAPY GROUP
Provider Business Mailing Address
First Line : 465 CHARLES AVE
Second Line :
City : CORTLAND
State : OH
Zip : 44410-1301
Country : US
Telephone Number : 330-647-4983
Fax Number :
Provider Business Practice Location Address
First Line : 465 CHARLES AVE
Second Line :
City : CORTLAND
State : OH
Zip : 44410-1301
Country : US
Telephone Number : 330-647-4983
Fax Number :
Authorized Official
Title or Position : BCBA
Name : LUBA EVERITT
Credential : MS, BCBA
Telephone Number : 330-647-4983
Provider Enumeration Date : 05/15/2026
Last Update Date : 05/15/2026

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Directions to “CONNECTIONS THERAPY GROUP ” Practice Location

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