Individual
DR. JESSICA M NOURSE-STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA-D
Contact information
Practice address
13 MABEL AVE, DANBURY, CT 06811-3740
(203) 917-1899
Mailing address
PO BOX 612, BROOKFIELD, CT 06804-0612
(203) 917-1899
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15731
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14-15731
CT LICENSE
CT
Enumeration date
05/14/2019
Last updated
05/14/2019
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