Individual
SHANNON BLAIR VICARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 FERRY BLVD STE 105, STRATFORD, CT 06615-6079
(203) 772-9906
Mailing address
80 FERRY BLVD STE 105, STRATFORD, CT 06615-6079
(203) 772-9906
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2105
CT
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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