Individual
JESSICA NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
114 TOLLAND GRN, TOLLAND, CT 06084-3039
(860) 948-0826
Mailing address
PO BOX 1066, TOLLAND, CT 06084
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12681
CT
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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