Individual
AMY MACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA, M.S
Contact information
Practice address
6 HAZELWOOD DR, BALTIC, CT 06330-1105
(860) 884-5801
Mailing address
6 HAZELWOOD DR, BALTIC, CT 06330-1105
(860) 884-5801
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1481
CT
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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