Individual
LAUREN MARIE DANNENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
98 KNOLLWOOD DR, RIDGEFIELD, CT 06877-2030
(413) 374-7461
Mailing address
98 KNOLLWOOD DR, RIDGEFIELD, CT 06877-2030
(413) 374-7461
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-10-7783
CT
103K00000X
Behavior Analyst
Primary
1-10-7783
NY
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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