Individual
CAMERON AUSTIN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 SALEM TPKE STE 200, NORWICH, CT 06360-6484
(888) 754-0398
Mailing address
495 LAUREL HILL RD APT 6L, NORWICH, CT 06360-7210
(813) 255-7532
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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