Individual
JONATHAN VICENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 ABBEY LN UNIT 3204, DANBURY, CT 06810-5220
(475) 529-5724
Mailing address
33 ABBEY LN UNIT 3204, DANBURY, CT 06810-5220
(475) 529-5724
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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