Individual
SARA ALLISON FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 CENTERPOINT DR, MIDDLETOWN, CT 06457-7570
(860) 543-3441
Mailing address
6333 TOWN BROOKE, MIDDLETOWN, CT 06457-6618
(860) 543-3441
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA.001054
CT
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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