Individual
MARY COLLEEN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
256 COOK HILL RD, CHESHIRE, CT 06410-3736
(860) 276-7070
Mailing address
256 COOK HILL RD, CHESHIRE, CT 06410-3736
(860) 276-7070
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12445
CT
Other
Enumeration date
01/02/2013
Last updated
09/15/2021
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