Individual
BASIRU SUMBUNDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 BLOOMFIELD AVE STE 301, WINDSOR, CT 06095-2700
(877) 418-2978
(866) 500-2186
Mailing address
967 ASYLUM AVE APT 9N, HARTFORD, CT 06105-2413
(843) 499-4089
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CT
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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