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Individual

HAROLD LEE WHITEHEAD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
3 ASHWOOD LN, BROOKFIELD, CT 06804-3239
(203) 501-9131
Mailing address
3 ASHWOOD LN, BROOKFIELD, CT 06804-3239
(203) 501-9131

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12148029
CT

Other

Enumeration date
01/24/2022
Last updated
01/24/2022
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