Individual
ANTON YURACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
160 FARMINGTON AVE, FARMINGTON, CT 06032
(860) 495-0126
Mailing address
160 FARMINGTON AVE, FARMINGTON, CT 06032-1728
(860) 495-0126
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
218
CT
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
08/06/2018
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