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Individual

MRS. MICHELLE CHAU-CIONTUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1150 SUMMER ST, STAMFORD, CT 06902
(203) 324-1880
Mailing address
11 FOX RUN ROAD, NORWALK, CT 06850

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26687
CT
103K00000X
Behavior Analyst

Other

Enumeration date
11/07/2017
Last updated
04/27/2018
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