Most Relevant Information
Provider Data
NPI Number: | 1003306820 |
Provider Name: | ANTON YURACK BCBA |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: | 218 |
Most Important Dates
Enumeration Date: | 05/17/2018 |
Last Updated: | 08/06/2018 |
Provider Practice Location
160 FARMINGTON AVE
FARMINGTON
CT
06032
Practice Location Phone/Fax
Phone: | 8604950126 |
Fax: |
Provider Mailing Location
160 FARMINGTON AVE
FARMINGTON
CT
060321728
Provider Mailing Phone/Fax
Phone: | 8604950126 |
Fax: |