Individual
ALICIA DESANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MOTT AVE STE 3A, NORWALK, CT 06850-3320
(888) 355-3255
Mailing address
171 MEADOWS END RD, MONROE, CT 06468-1705
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930
CT BEHAVIOR ANALYST LICENSE
CT
Enumeration date
02/26/2020
Last updated
02/26/2020
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