Individual
NICOLE CRESPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
Mailing address
15 RIGA LN, BOLTON, CT 06043-7233
(860) 930-4157
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CT
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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