Individual
MRS. JACLYN LIPOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12 LEGION RD, SEYMOUR, CT 06483-3849
(203) 906-4472
Mailing address
12 LEGION RD, SEYMOUR, CT 06483-3849
(203) 906-4472
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19725
CT
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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