Individual
STEVEN DALLAS MUFALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
585 PARK RD UNIT 2-8, WATERBURY, CT 06708-2357
(203) 819-0264
Mailing address
585 PARK RD UNIT 2-8, WATERBURY, CT 06708-2357
(203) 819-0264
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1410
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851912745
—
CT
Enumeration date
03/06/2022
Last updated
03/06/2022
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