Individual
DORENE P ZHULKOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
12 HIGHWOOD, SIMSBURY, CT 06070-2510
(860) 305-8436
Mailing address
1261 BERLIN TURNPIKE, BERLIN, CT 06037
(860) 305-8436
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55606
CT
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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