Individual
JAKE PROSCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 HIGH RIDGE RD STE 300, STAMFORD, CT 06905-1610
(203) 200-7256
Mailing address
26 STRAWBERRY HILL AVE APT 6C, STAMFORD, CT 06902-2615
(914) 462-0868
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1385
CT
103K00000X
Behavior Analyst
Primary
BACB560988
CT
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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