Individual
KRISTINA MIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
49 FARMSTEAD LN, GLASTONBURY, CT 06033-3241
(860) 899-6970
Mailing address
49 FARMSTEAD LN, GLASTONBURY, CT 06033-3241
(860) 899-6970
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-86720
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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