Individual
MRS. NOMIKI KANAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA-LBA
Contact information
Practice address
171 ROCK RD, NORTH HAVEN, CT 06473-3746
(203) 234-1258
Mailing address
171 ROCK RD, NORTH HAVEN, CT 06473-3746
(203) 234-1258
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25438
CT
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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