Individual
ANGELINA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 GLENWOOD ST, MANCHESTER, CT 06040-6141
(860) 985-9300
Mailing address
27 GLENWOOD ST, MANCHESTER, CT 06040-6141
(860) 985-9300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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