Individual
MR. SCOTT ALLYN RODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
163 LEAD MINE BROOK RD, HARWINTON, CT 06791-1315
(860) 338-3130
(855) 632-4963
Mailing address
163 LEAD MINE BROOK RD, HARWINTON, CT 06791-1315
(860) 338-3130
(855) 632-4963
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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