Individual
JAYRA DORSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED. BCBA, LBA
Contact information
Practice address
12 SPINDLE HILL RD APT 7G, WOLCOTT, CT 06716-1743
(203) 565-9037
Mailing address
12 SPINDLE HILL RD APT 7G, WOLCOTT, CT 06716-1743
(203) 565-9037
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1318
CT
Other
Enumeration date
11/07/2021
Last updated
11/07/2021
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