Coral Elise Stagon

NPI #1457177099 in Moosup, Connecticut

Provider Information

NPI Number: 1457177099
Entity Type: Individual
Name: Coral Elise Stagon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 27, 2024
Last Updated: Nov 27, 2024

Practice Location

Address: 36 SNAKE MEADOW HILL RD
City: Moosup
State: Connecticut
ZIP Code: 06354-1925
Phone: (860) 377-8386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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