Individual
KIMBERLY IACOVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 FEDERAL RD STE 5, BROOKFIELD, CT 06804-4008
(203) 501-9131
Mailing address
6 ARAPAHO RD, BROOKFIELD, CT 06804-3104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2090
CT
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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