Individual
KYLIE HAVEN VACCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
42 GROVE ST, ANSONIA, CT 06401-1753
(203) 736-5095
Mailing address
253 W RIVER ST APT 15, MILFORD, CT 06461-2695
(203) 558-4423
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1640
CT
Other
Enumeration date
04/21/2023
Last updated
10/14/2023
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