Individual
JESSICA MATEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA (CT)
Contact information
Practice address
97 RICHARDS AVE APT F18, NORWALK, CT 06854-1651
(203) 979-7393
Mailing address
97 RICHARDS AVE APT F18, NORWALK, CT 06854-1651
(203) 979-7393
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1439
CT
Other
Enumeration date
02/06/2023
Last updated
01/05/2025
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