Individual
MRS. KERRI VITOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
53 ROCKY HILL RD, NEW FAIRFIELD, CT 06812-2726
(203) 733-1190
Mailing address
53 ROCKY HILL RD, NEW FAIRFIELD, CT 06812-2726
(203) 733-1190
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15122
—
174400000X
Specialist
1156201
NY
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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