Individual
DEANNA J DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
98 DARBY ST, BLOOMFIELD, CT 06002-3608
(860) 985-0424
Mailing address
98 DARBY ST, BLOOMFIELD, CT 06002-3608
(860) 985-0424
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
790
CT
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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