Individual
MS. TATIANA WACHSMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
19 PINEWOOD RD, STAMFORD, CT 06903-2522
(860) 248-5372
Mailing address
19 PINEWOOD RD, STAMFORD, CT 06903-2522
(860) 248-5372
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13547
—
Other
Enumeration date
07/04/2013
Last updated
12/12/2016
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