Individual
SADI-ANN DUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
162 ROSELLE ST, BRIDGEPORT, CT 06604-1422
(203) 522-3439
Mailing address
160 ROSELLE ST, BRIDGEPORT, CT 06604-1422
(203) 522-3439
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50200
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-50200
BEHAVIOR ANALYST CERTIFICATION BOARD
CT
01
—
1238
STATE LICENSE FROM DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
09/06/2020
Last updated
03/30/2024
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