Individual
MR. DAVID LOUIS VITELLI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 WHITING ST, NEW BRITAIN, CT 06051-3184
(888) 754-0398
Mailing address
125 WHITING ST, NEW BRITAIN, CT 06051-3184
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1152
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1152
STATE LICENSE
CT
Enumeration date
08/01/2022
Last updated
08/01/2022
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