Individual
TONGINETTA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47 BOND ST FL 2, HARTFORD, CT 06114-6313
(860) 794-5555
Mailing address
47 BOND ST FL 2, HARTFORD, CT 06114-6313
(860) 794-5555
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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