Individual
MRS. LEANNE FONTANA MAILMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
514 CHERRY BROOK RD, CANTON, CT 06019-4518
(860) 309-7244
Mailing address
514 CHERRY BROOK RD, CANTON, CT 06019-4518
(860) 309-7244
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11314411
CT
103K00000X
Behavior Analyst
CT250
CT
Other
Enumeration date
12/01/2015
Last updated
09/02/2025
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