Individual
MR. GREGORY KHIRY BEAUFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 SPRINGSIDE AVE, EAST HARTFORD, CT 06108-1658
(860) 656-8954
Mailing address
22 SPRINGSIDE AVE, EAST HARTFORD, CT 06108-1658
(860) 656-8954
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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