Individual
VICTOR ALEXIS NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
62 PROVIDENCE PIKE STE E, PUTNAM, CT 06260-2415
(888) 805-0759
Mailing address
62 PROVIDENCE PIKE STE E, PUTNAM, CT 06260-2415
(888) 805-0759
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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