Individual
MRS. SHADDAE GENEVA JACKSON-CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1000 BRIDGEPORT AVE STE 405, SHELTON, CT 06484-4660
(203) 993-6592
Mailing address
184 MORNING DOVE RD, NAUGATUCK, CT 06770-4807
(929) 620-3503
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1291732
CT
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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