Individual
STACY WHELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 HICKORY LN, PAWCATUCK, CT 06379
(206) 909-7228
Mailing address
2 HICKORY LN, PAWCATUCK, CT 06379-2214
(206) 909-7228
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1366957565
CT
Other
Enumeration date
12/11/2017
Last updated
02/27/2025
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