Provider Demographics
NPI:1316317373
Name:HILTON BEHAVIOR THERAPY
Entity type:Organization
Organization Name:HILTON BEHAVIOR THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HILTON-JULIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-668-6681
Mailing Address - Street 1:PO BOX 26912
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-0957
Mailing Address - Country:US
Mailing Address - Phone:203-668-6681
Mailing Address - Fax:
Practice Address - Street 1:40 MEADOWBROOK RD
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-3958
Practice Address - Country:US
Practice Address - Phone:203-668-6681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-03
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty