Individual
ASHLEY IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 MAIN ST STE G1, BRIDGEPORT, CT 06606-4237
(877) 222-0399
Mailing address
94 VICTORY CRES, MILFORD, CT 06460-3222
(203) 815-8731
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CT
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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