Individual
INDRANI BAGCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
207 BARNCROFT RD, STAMFORD, CT 06902-1207
(718) 419-3901
Mailing address
673 S MAIN ST, CHESHIRE, CT 06410-3149
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18590
CT
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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