Individual
SHANNON EVELYN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
110 COURT ST STE 3, CROMWELL, CT 06416-1273
(860) 613-9930
Mailing address
110 COURT ST STE 3, CROMWELL, CT 06416-1273
(860) 613-9930
(860) 613-9952
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12876
CT
103K00000X
Behavior Analyst
804
CT
Other
Enumeration date
07/02/2014
Last updated
07/10/2026
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