Individual
MR. MATTHEW SURACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WOLFPIT AVE, APT 1, NORWALK, CT 06851
(203) 505-5987
Mailing address
100 WOLFPIT AVE, APT 1, NORWALK, CT 06851
(203) 505-5987
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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