Individual
KATIE L VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MS, L-BCBA
Contact information
Practice address
22 BROADWAY, NORTH HAVEN, CT 06473-2303
(203) 907-6935
Mailing address
19 COACHMAN DR, BRANFORD, CT 06405-2734
(203) 215-5546
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1320
CT
1041C0700X
Clinical Social Worker
Primary
8621
CT
Other
Enumeration date
05/22/2012
Last updated
07/12/2022
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