Individual
SHANNON MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
44 COMMERCE RD, STAMFORD, CT 06902-4561
(858) 926-9275
Mailing address
44 COMMERCE RD, STAMFORD, CT 06902-4561
(858) 926-9275
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12876
CT
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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