Individual
LAURA FASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1700 REISTERSTOWN RD STE 220, PIKESVILLE, MD 21208-2920
(443) 213-5906
Mailing address
59 DANBURY RD, WILTON, CT 06897-4405
(203) 210-7124
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-55493
CT
103K00000X
Behavior Analyst
Primary
1351
CT
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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