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Individual
MR. DAVID LOUIS VITELLI JR.
Active
Individual
MR. DAVID LOUIS VITELLI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1152
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1152
STATE LICENSE
CT
Enumeration date
08/01/2022
Last updated
08/01/2022
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