Individual
TAWANAIFA SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 PLAIN DR, EAST HARTFORD, CT 06118-1569
(860) 477-6458
Mailing address
148 PLAIN DR, EAST HARTFORD, CT 06118-1569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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