Individual
DONALD HERNBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
356 WINDHAM RD, WILLIMANTIC, CT 06226-3530
(860) 301-4468
Mailing address
356 WINDHAM RD, WILLIMANTIC, CT 06226-3530
(860) 301-4468
(860) 456-8968
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
082772436
CT
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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