Individual
DAVID DEPETRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA, LABA
Contact information
Practice address
100 BEARD SAWMILL RD, SHELTON, CT 06484-6150
(475) 239-5512
Mailing address
100 BEARD SAWMILL RD, SHELTON, CT 06484-6150
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1428
CT
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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