Individual
MELISSA GRACE SUMADCHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
30 BUXTON FARM RD STE 105, STAMFORD, CT 06905-1210
(203) 674-8200
Mailing address
5 LITTLE BROOK LN, NEW CITY, NY 10956-3913
(845) 499-0664
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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