Individual
AVERY DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2666 STATE ST STE A3, HAMDEN, CT 06517-2232
(888) 754-0398
Mailing address
80 GROVE ST, PLANTSVILLE, CT 06479-1512
(860) 378-4305
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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