Organization
GREENWICH EDUCATION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON EVELYN MATTHEWS BCBA (BEHAVIOR ANALYST)
(203) 661-1609
Entity
Organization
Contact information
Practice address
78 HARVARD AVE, STAMFORD, CT 06902-5548
(203) 661-1609
Mailing address
78 HARVARD AVE, STAMFORD, CT 06902-5548
(203) 661-1609
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12876
CT
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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