Individual
LORI E MASTROGIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
972 POST RD, 3RD FLOOR, DARIEN, CT 06820-4525
(203) 883-8827
Mailing address
972 POST RD, 3RD FLOOR, DARIEN, CT 06820-4525
(203) 883-8827
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
000323
NY
103K00000X
Behavior Analyst
Primary
1-00-0007
CT
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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