Individual
MS. KELLY ANN MARTONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
103 ARTILLERY RD # TD, WATERTOWN, CT 06795-2304
(475) 313-5688
Mailing address
103 ARTILLERY RD, WATERTOWN, CT 06795-2304
(475) 313-5688
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001083
CT
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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