Individual
TRACY KRISTINE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1261 BERLIN TPKE, BERLIN, CT 06037-3228
(475) 414-6699
Mailing address
83 BRYAN DR, MANCHESTER, CT 06042-1715
(860) 250-1736
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1638
CT
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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