Individual
MISS SARA TARGOUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 HOLBROOK PL, ANSONIA, CT 06401-1248
(203) 892-3131
Mailing address
44 HOLBROOK PL, ANSONIA, CT 06401-1248
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB703102
CT
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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