Individual
MR. STEPHEN SAMELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
187 HALF MILE RD, NORTH HAVEN, CT 06473-4121
(203) 239-6425
Mailing address
5 BAILEY RD, NAUGATUCK, CT 06770-3449
(203) 804-8772
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
581
CT
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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