Individual
KHAILANI BURGOS-LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 SPRINGSIDE AVE, EAST HARTFORD, CT 06108-1658
(860) 719-5680
Mailing address
34 SPRINGSIDE AVE, EAST HARTFORD, CT 06108-1658
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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