Individual
MIKAYLA RENEE VACCARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2666 STATE ST UNIT A3, HAMDEN, CT 06517-2232
(888) 754-0398
Mailing address
400 BLAKE ST APT 4118, NEW HAVEN, CT 06515-4419
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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