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Individual

ANDREW VOGL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
149 DURHAM RD, MADISON, CT 06443-2677
(860) 391-5124
(800) 664-5812
Mailing address
15 HAMMOCK PKWY, CLINTON, CT 06413-2304
(860) 391-5124
(800) 664-5812

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18792
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-15-18792
BOARD CERTIFICATION FOR BEHAVIOR ANALYSIS
CT
Enumeration date
11/02/2015
Last updated
11/02/2015
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