Individual
CHELSEA TEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
14 WESTPORT AVE, NORWALK, CT 06851-3915
(203) 222-7827
Mailing address
14 WESTPORT AVE, NORWALK, CT 06851-3915
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
24
CT
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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