Individual
JUSTIN ASHLEY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2666 STATE ST UNIT A3, HAMDEN, CT 06517-2232
(888) 754-0398
Mailing address
87 HESSE RD, HAMDEN, CT 06517-2216
(860) 790-7408
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-183714
CT
Other
Enumeration date
04/16/2022
Last updated
04/16/2022
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