Individual
JUSTYNA BALZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
304 MAIN AVE, #443, NORWALK, CT 06851-6167
(203) 273-0503
Mailing address
304 MAIN AVE., #443, NORWALK, CT 06851-2709
(203) 273-0503
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23524
CT
Other
Enumeration date
11/02/2016
Last updated
02/22/2017
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