Individual
DAVID VITOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
925 BRIDGEPORT AVE, MILFORD, CT 06460-3142
(203) 214-8702
Mailing address
184 ROBERT TREAT DR, MILFORD, CT 06460-8300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1543
CT
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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