Individual
BROOKE MATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
900 ETHAN ALLEN HWY, RIDGEFIELD, CT 06877-2826
(475) 231-0774
Mailing address
33 SEVENTY ACRE RD, REDDING, CT 06896-2703
(860) 539-8335
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000761
CT
Other
Enumeration date
03/12/2019
Last updated
12/30/2019
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