Individual
CHRISTINA LYNN PETTENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
32 LILY LN, VERNON, CT 06066-5269
(860) 461-5262
Mailing address
32 LILY LN, VERNON, CT 06066-5269
(860) 461-5262
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1411
CT
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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