Most Relevant Information
Provider Data
| NPI Number: | 1003401779 |
| Provider Name: | SUMMER VINCI |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/04/2021 |
| Last Updated: | 03/04/2021 |
Provider Practice Location
157 CHURCH ST FL 19
NEW HAVEN
CT
065102100
Practice Location Phone/Fax
| Phone: | 8772005886 |
| Fax: |
Provider Mailing Location
157 CHURCH ST FL 19
NEW HAVEN
CT
065102100
Provider Mailing Phone/Fax
| Phone: | 8772005886 |
| Fax: |