NPI 1639628977
Navigate Behaviors
Practice location
- Address
- 580 Ten Rod Road, North Kingstown, RI 02852-4220
- Phone
- (401) 213-3302
- Fax
- (401) 200-3304
Authorised official
- Name
- Renee Elizabeth Bliven Randol
- Title
- Executive Director, Bcba
- Phone
- (401) 213-3302
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1639628977
- Entity type
- Organization
- NPI issued
- 28 Sep 2016
- Record last updated
- 2 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.