Individual
MRS. JACQUELINE FORCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 WESTPORT AVE, NORWALK, CT 06851-3915
(203) 907-5615
Mailing address
5 IRONWOOD WAY, ORANGE, CT 06477-1436
(203) 907-5615
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
211
CT
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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