Individual
LINDSEY MALCHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., ED., B.C.B.A
Contact information
Practice address
3 RAYMOND ST, VERNON, CT 06066-3315
(860) 420-9253
Mailing address
3 RAYMOND ST, VERNON, CT 06066-3315
(860) 420-9253
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17020
CT
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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