Individual
SHREYA GANNARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 OXFORD RD STE D7, MILFORD, CT 06460-3851
(475) 414-8084
Mailing address
417 POPLAR ST APT 3, NEW HAVEN, CT 06513-3191
(804) 298-0944
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/15/2026
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