Individual
ATIYAH JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 HARTLAND ST STE 108, EAST HARTFORD, CT 06108-3259
(888) 754-0398
Mailing address
279 REDSTONE HILL RD APT 46, BRISTOL, CT 06010-7980
(860) 609-2265
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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