Individual
ALLEAH CELESTE BRYANT-BROCKENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
77 NEW VILLAGE ST, NORWICH, CT 06360-1351
(203) 675-7912
Mailing address
77 NEW VILLAGE ST, NORWICH, CT 06360-1351
(203) 675-7912
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45222
CT
Other
Enumeration date
11/16/2020
Last updated
02/12/2021
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