Individual
REBECCA LYNN VIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
925 BRIDGEPORT AVE, MILFORD, CT 06460-3142
(203) 306-0821
Mailing address
21 HOWARD AVE, ANSONIA, CT 06401-2209
(203) 751-7223
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CT
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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