Organization
SHORELINE CENTER FOR SOCIAL LEARNING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY VOULGARAKIS PHD (DIRECTOR)
(203) 693-4533
Entity
Organization
Contact information
Practice address
377 MAIN ST, WEST HAVEN, CT 06516-4311
(203) 693-4533
Mailing address
377 MAIN ST, WEST HAVEN, CT 06516-4311
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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