Individual
JILL SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
20 MOHEGAN AVE, STAMFORD, CT 06902-7410
(203) 883-2461
Mailing address
20 MOHEGAN AVE, STAMFORD, CT 06902-7410
(203) 883-2461
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB608650
CT
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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