Individual
GIOVANA TIENE-SCALZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2666 STATE ST UNIT A3, HAMDEN, CT 06517-2232
(888) 754-0398
Mailing address
273 DERBY AVE UNIT 804, DERBY, CT 06418-2088
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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