Individual
SHIRLEY JOHANNA CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 BIRCH ST, WEST HAVEN, CT 06516-1252
(203) 901-9721
Mailing address
21 BIRCH ST, WEST HAVEN, CT 06516-1252
(203) 901-9721
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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