Individual
MELISSA GRONDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
56 W MAIN ST, PLAINVILLE, CT 06062-1904
(860) 351-5407
Mailing address
56 W MAIN ST, PLAINVILLE, CT 06062-1904
(860) 351-5407
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-103074
CT
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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