Individual
MRS. TERESA AMBRIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 MAIN ST STE G, EAST HARTFORD, CT 06118-3239
(888) 754-0398
Mailing address
144 MAIN ST STE G, EAST HARTFORD, CT 06118-3239
(888) 754-0398
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB484502
CT
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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