Individual
MYA FEBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 CENTRAL AVE APT 315, BRIDGEPORT, CT 06610-2849
(203) 243-6734
Mailing address
1535 CENTRAL AVE APT 315, BRIDGEPORT, CT 06610-2849
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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