Individual
NATASHA ALEXANDRA KODIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1011 HIGH RIDGE RD, STAMFORD, CT 06905-1610
(203) 913-4154
Mailing address
1011 HIGH RIDGE RD, STAMFORD, CT 06905-1610
(203) 913-4154
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44592
CT
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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