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Organization
SHORELINE CENTER FOR SOCIAL LEARNING, LLC
Active
Organization
SHORELINE CENTER FOR SOCIAL LEARNING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY VOULGARAKIS PHD (DIRECTOR)
(203) 693-4533
Entity
Organization
Contact information
Practice address
377 MAIN ST, WEST HAVEN, CT 06516-4311
(203) 693-4533
Mailing address
377 MAIN ST, WEST HAVEN, CT 06516-4311
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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