Individual
TANNIS OLIVIA NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1 ENTERPRISE DR STE 110, SHELTON, CT 06484-4631
(203) 900-4720
(203) 306-3219
Mailing address
22 HIGHWOOD AVE, HAMDEN, CT 06514-2819
(203) 361-4844
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1582
CT
Other
Enumeration date
01/23/2023
Last updated
01/30/2023
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