Individual
STEPHANIE GREAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 FARMINGTON AVE, FARMINGTON, CT 06032
(203) 495-0126
Mailing address
160 FARMINGTON AVE, FARMINGTON, CT 06032-1728
(203) 495-0126
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
73
CT
Other
Enumeration date
08/22/2016
Last updated
08/02/2018
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