Individual
SUMMER VINCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 CHURCH ST FL 19, NEW HAVEN, CT 06510-2100
(877) 200-5886
Mailing address
157 CHURCH ST FL 19, NEW HAVEN, CT 06510-2100
(877) 200-5886
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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