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Individual

MRS. SUZANNE LETSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
95 WOLF HARBOR RD, MILFORD, CT 06461-1938
(203) 882-8810
(203) 878-9468
Mailing address
95 WOLF HARBOR ROAD, MILFORD, CT 06461
(203) 882-8810
(203) 878-9468

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
000413-01
NY
103K00000X
Behavior Analyst
0026
MA
103K00000X
Behavior Analyst
Primary
1-02-0935
CO

Other

Enumeration date
02/13/2017
Last updated
02/13/2017
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