Individual
LEAH GIACOMONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10 MOTT AVE STE 3A, NORWALK, CT 06850-3320
(855) 681-8555
Mailing address
459 N MAIN ST, PORT CHESTER, NY 10573-3340
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
15651762
CT
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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