Most Relevant Information
Provider Data
| NPI Number: | 1003260464 |
| Provider Name: | VICTORIA DESJARDIN MS, BCBA/LBA |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/21/2016 |
| Last Updated: | 12/14/2023 |
Provider Practice Location
680 MIX AVE APT 2G
HAMDEN
CT
065142364
Practice Location Phone/Fax
| Phone: | 8609216484 |
| Fax: |
Provider Mailing Location
10 SKYLINE DR
PROSPECT
CT
067121732
Provider Mailing Phone/Fax
| Phone: | 8609216484 |
| Fax: |