Individual
KAITLIN GROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 HAZARD AVE, SUITE 2-6, ENFIELD, CT 06082-4585
(860) 698-6077
(860) 698-6631
Mailing address
139 HAZARD AVE, SUITE 2-6, ENFIELD, CT 06082-4585
(860) 698-6077
(860) 698-6631
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
01/20/2015
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