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Individual

MARYELLEN A MIDGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA-CT

Contact information

Practice address
160 FARMINGTON AVE, FARMINGTON, CT 06032-1728
(860) 495-0126
Mailing address
17 SUMMIT RD, HAMDEN, CT 06514-3032
(203) 313-4179

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2029
CT

Other

Enumeration date
09/06/2025
Last updated
09/06/2025
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