Individual
DEMA COUNCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3074 WHITNEY AVE, HAMDEN, CT 06518-2391
(203) 903-9363
Mailing address
94 THIRD ST, HAMDEN, CT 06514-4716
(203) 675-5795
(203) 675-5795
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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