Individual
ERIC MARIO CHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 LAWRENCE ST, NEW BRITAIN, CT 06053-2313
(860) 707-3464
Mailing address
49 LAWRENCE ST, NEW BRITAIN, CT 06053-2313
(860) 707-3464
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
11/21/2018
Last updated
11/21/2018
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