Individual
ALEXIS NOEL BRUNDIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 YANTIC LN, NORWICH, CT 06360-1453
(860) 373-3818
Mailing address
62 YANTIC LN, NORWICH, CT 06360-1453
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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