Gifford, Audrey

Gifford, Audrey is an sole proprietor health care provider with primary practice located at 97 Derek Dr , Tolland CT 06084-2631. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gifford, Audrey can be contacted via phone (860) 454-8649.

Contact Information

Primary practice address
97 Derek Dr Tolland CT 06084-2631
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0082 Massachusetts

Profile Details

NPI number 1275993404
LBN Legal business name Gifford, Audrey
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2016
Last updated Mar 1st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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