Individual
LIZANA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MARK LN UNIT E2, WATERBURY, CT 06704-2441
(203) 510-3913
Mailing address
100 MARK LN UNIT E2, WATERBURY, CT 06704-2441
(203) 510-3913
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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