Individual
MELISSA FIACCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1100 NEW BRITAIN AVE STE 105, WEST HARTFORD, CT 06110-2448
(860) 310-7113
(860) 310-7113
Mailing address
1100 NEW BRITAIN AVE STE 105, WEST HARTFORD, CT 06110-2448
(860) 310-7113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15966
CT
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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