Individual
ANGELA RAE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 DAVIS RD W, OLD LYME, CT 06371
(860) 531-9621
Mailing address
23 MARY MAC LOOP, CLINTON, CT 06413-1823
(317) 250-0721
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2168
CT
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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