Individual
MISS GRACE CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 KINGS HWY E STE 110, FAIRFIELD, CT 06825-4859
(203) 856-9195
Mailing address
37 JETLAND PL, BRIDGEPORT, CT 06605-3318
(475) 217-1521
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
243
CT
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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