Individual
MEGAN SHERMAN-BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
Mailing address
162 WEST ST STE F, CROMWELL, CT 06416-4405
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1142
CT
106E00000X
Assistant Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057999662
CT DRIVER LICENSE
CT
Enumeration date
08/16/2017
Last updated
06/09/2021
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