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Individual

LORI GUSTINIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
360 AMITY RD, WOODBRIDGE, CT 06525-2133
(203) 903-9363
Mailing address
PO BOX 3957, WOODBRIDGE, CT 06525-0957
(203) 903-9363

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38525
CT

Other

Enumeration date
10/15/2019
Last updated
10/15/2019
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