Individual
PON P MOUNDRATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 MAIN ST STE G, EAST HARTFORD, CT 06118-3239
(860) 362-0225
Mailing address
144 MAIN ST STE G, EAST HARTFORD, CT 06118-3239
(860) 362-0225
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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