Individual
MELISSA ANN GERHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS BCBA
Contact information
Practice address
17 FARMINGTON AVE, PLAINVILLE, CT 06062-1700
(860) 351-5407
(860) 351-5774
Mailing address
56 W MAIN ST, PLAINVILLE, CT 06062-1904
(860) 351-5407
(860) 351-5774
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
267656
CT
Other
Enumeration date
05/07/2015
Last updated
07/05/2016
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