Individual
MS. COLEEN SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
15 SCHOOL STREET, EAST GRANBY, CT 06026
(860) 413-9538
Mailing address
7 CHURCHILL LN, WESTBROOK, CT 06498-1532
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18408
CT
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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