Individual
GLENDA TERESA FLORES DE CUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 MAIN ST, EAST HARTFORD, CT 06118-3239
(888) 754-0398
Mailing address
144 MAIN ST, EAST HARTFORD, CT 06118-3239
(888) 754-0398
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08111993
RBT
CT
01
—
08111993
RBT
—
Enumeration date
01/06/2023
Last updated
01/06/2023
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