Individual
ANDREA NAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MS, BCBA
Contact information
Practice address
957 N MCQUEEN RD, CHANDLER, AZ 85225-8136
(860) 208-5365
Mailing address
957 N MCQUEEN RD, CHANDLER, AZ 85225-8136
(860) 208-5365
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11830934
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040564
—
CT
Enumeration date
10/31/2016
Last updated
11/11/2024
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