Individual
CORY MASTRANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 BROADWAY AVENUE EXT STE 3, MYSTIC, CT 06355-2875
(860) 980-3233
Mailing address
PO BOX 26, MYSTIC, CT 06355-0026
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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