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Behavioral Analyst

North Haven, Connecticut

Provider NPI: 1932350105

Organization Information:
Organization is not Subpart
Authorized Official:  IDA  SANSONE  BILLER  203-4830469

Practice Location:
Tel: 203-234-0365  Fax: --

Business Mailing Address:
Tel: 203-234-0365  Fax: --

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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