Individual
MRS. DESTINY ELIZABETH ST. AMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
71 PINE RD, COLEBROOK, CT 06021-3721
(860) 806-3705
Mailing address
71 PINE RD, COLEBROOK, CT 06021-3721
(860) 806-3705
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-83666
CT
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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