Individual
MS. KEISHA N BOVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 MAIN ST STE 2, EAST HARTFORD, CT 06118-3239
(860) 964-7059
Mailing address
144 MAIN ST, EAST HARTFORD, CT 06118-3239
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
11/22/2024
Last updated
02/07/2025
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