Individual
CAITLYN RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 BRUSHY HILL RD, DANBURY, CT 06810-8430
(475) 204-1573
Mailing address
27 GREENFIELD DR, WESTON, CT 06883-1938
(203) 216-1386
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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