Individual
CRISTINA DIBACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 WHITING ST, NEW BRITAIN, CT 06051-3184
(888) 754-0398
Mailing address
144 MAIN ST STE G, EAST HARTFORD, CT 06118-3239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1328
CT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/20/2021
Last updated
11/15/2021
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