Individual
MS. DANIELLE VAIVODA-ODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 RAYMOND RD, WEST HARTFORD, CT 06107-2211
(239) 986-9398
Mailing address
61 BRENTWOOD DR, CHESHIRE, CT 06410-3407
(203) 446-1221
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72056
CT
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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