Individual
ALLISON CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 WILSON ST, FAIRFIELD, CT 06825-1420
(516) 382-4450
Mailing address
115 WILSON ST, FAIRFIELD, CT 06825-1420
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33234
CT
103K00000X
Behavior Analyst
11833234
CT
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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