Mia Katherine Shallcross
Mia Katherine Shallcross is a Behavior Technician in Windsor, Connecticut. Licensed in Connecticut. Registered with an NPI since 2021.
- Licensed in
- CT
- In the registry since
- 2021
Practice location Address checks out
360 Bloomfield Ave Ste 301Windsor, CT 06095-2700
Phone: (877) 418-2978
Fax: (866) 500-2186
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CT) |
|---|
Record details
| NPI number | 1215529326 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 9, 2021 |
| Last updated in NPPES | February 9, 2021 |
| Certification date | February 9, 2021 |
| Mailing address | 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 |
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