Individual
JACQUELYNN MARIE RANKINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
385 MAIN ST S STE 215, SOUTHBURY, CT 06488-4246
(203) 693-4543
Mailing address
34 BRIGHTON RD, NAUGATUCK, CT 06770-1548
(203) 560-6995
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30371
CT
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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