Individual
MISS KAYLA MARIE BELLANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
(860) 613-9952
Mailing address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
869
CT
222Q00000X
Developmental Therapist
869
CT
Other
Enumeration date
10/16/2019
Last updated
11/15/2019
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