Individual
MS. CYNTHIA WOODIS WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
17 OAK ST, STONINGTON, CT 06378-2766
(860) 642-7379
(860) 201-1200
Mailing address
PO BOX 26, MYSTIC, CT 06355-0026
(860) 642-7379
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12873
CT
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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