NPI 1104450766

Ruel Dixon, BCBA

Practitioner Behavior Analyst North Haven, CT

Practice location

Address: 100 State St APT 85, North Haven, CT 06473-2219
Phone: (860) 985-9779

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 486 (CT)

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Registry record

NPI: 1104450766
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2020
Record last updated: 23 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.