OrganizationActive
Illumine Collaborative, LLC
NPI 1972261857 · Behavior Analyst · Lyndonville, VT
Provider details
- NPI number
- 1972261857
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tenisa Turnbaugh, Owner/Director(203) 233-5497
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2335 Peak Rd
Lyndonville, VT 05851-9546
Phone: (203) 233-5497
Approximate (ZIP-level) locationGet directions
Mailing address
34 Deer Hill Rd
Southbury, CT 06488-1124
Registry dates
- Enumerated
- 2021-12-07
- Last updated
- 2021-12-07
- Certified
- 2021-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.