Individual
KRISTEN STADOLNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 DORSET XING UNIT 224, SIMSBURY, CT 06070-1474
(860) 707-9651
Mailing address
55 DORSET XING UNIT 224, SIMSBURY, CT 06070-1474
(860) 707-9651
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12727849
CT
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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