Individual
SYDNEY ANN MANDEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
61 COMMERCIAL BLVD, TORRINGTON, CT 06790-7224
(860) 673-0145
Mailing address
90 PINE BROOK TER APT 6, BRISTOL, CT 06010-8423
(203) 804-3393
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1782
CT
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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