Individual
TIVA PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 WESTPORT AVE, NORWALK, CT 06851-3915
(631) 560-7355
Mailing address
14 WESTPORT AVE, NORWALK, CT 06851-3915
(631) 560-7355
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-17-25522
NY
103K00000X
Behavior Analyst
Primary
BA.000328
CT
Other
Enumeration date
04/28/2017
Last updated
06/24/2019
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