Individual
KELLI DIMAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 BLOOMFIELD AVE STE 301, WINDSOR, CT 06095-2700
(860) 978-4483
Mailing address
36 MARION ST, BRISTOL, CT 06010-7929
(860) 978-4483
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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