Individual
HUMBERTO JACKIE BARRIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 HARTLAND ST STE 108, EAST HARTFORD, CT 06108-3259
(860) 385-2390
Mailing address
666 BROAD ST APT 5, MERIDEN, CT 06450-4376
(475) 235-8191
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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