Individual
KERRI LYNN BOLOGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BRIDGEPORT AVE # 405, SHELTON, CT 06484-4660
(203) 993-6592
(475) 203-3328
Mailing address
299 ASPETUCK TRL, SHELTON, CT 06484-2880
(203) 450-1122
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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