Individual
ALEXANDER MICHAEL STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., BCBA, LBA
Contact information
Practice address
59 DANBURY RD, WILTON, CT 06897-4405
(203) 210-7124
(203) 210-7126
Mailing address
515 WEST AVE APT MB208, NORWALK, CT 06850-4054
(203) 586-8418
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1907
CT
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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