Individual
ANDREW NATHAN REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 LEWIS PL, BRIDGEPORT, CT 06610-2921
(203) 953-4906
Mailing address
46 LEWIS PL, BRIDGEPORT, CT 06610-2921
(203) 953-4906
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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