Individual
CANDACE FUGAZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
579 S BARRE RD, BARRE, VT 05641-8107
(802) 476-1480
(802) 479-4095
Mailing address
579 S BARRE RD, BARRE, VT 05641-8107
(802) 476-1480
(802) 479-4095
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133001483
VA
103K00000X
Behavior Analyst
Primary
1-04-1523
VT
Other
Enumeration date
04/01/2016
Last updated
09/16/2019
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