Individual
MILLER ERICK LEVEILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
422 HOPE ST, STAMFORD, CT 06906-1326
(475) 205-2915
Mailing address
422 HOPE ST, STAMFORD, CT 06906-1326
(475) 205-2915
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4928274
CT
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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