Jake Proscia
Behavior Analyst in Stamford, CT. Individual provider (NPI-1).
NPI number1013661826
StatusActive
Last updated in NPPESFeb 10, 2022
Details
- NPI
- 1013661826
- Entity type
- Individual (NPI-1)
- Name
- Jake Proscia
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2022
- Certification date
- Feb 9, 2022
- Last updated
- Feb 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | BACB560988 | CT | Yes |
| 103K00000X | Behavior Analyst | 1385 | CT |
Practice location
1011 High Ridge Rd Ste 300Stamford, CT 06905-1610
Phone 203-200-7256
Mailing address
26 Strawberry Hill Ave Apt 6cStamford, CT 06902-2615
Phone 914-462-0868
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