Individual
SETH MICHAEL NORDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBA, BCBA
Contact information
Practice address
16 TAYLOR PL, WESTPORT, CT 06880-4313
(203) 529-5123
Mailing address
16 TAYLOR PL, WESTPORT, CT 06880-4313
(203) 529-5123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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