Individual
MRS. CHRISTINE BOAMPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
58 POMPERAUG RD, WOODBURY, CT 06798-3713
(203) 313-5537
Mailing address
58 POMPERAUG RD, WOODBURY, CT 06798-3713
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1931
CT
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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