Individual
ALEXANDRA M THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58 POMPERAUG ROAD, WOODBURY, CT 09798-3713
(203) 313-5537
Mailing address
58 POMPERAUG ROAD, WOODBURY, CT 06798
(203) 313-5537
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1687
CT
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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