Individual
KRISTIN BODENHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 POST RD, DARIEN, CT 06820-3600
(203) 202-7654
Mailing address
19 CARROLL ST, STAMFORD, CT 06907-1706
(203) 550-5295
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
710
CT
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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