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Individual

TEAIRRA MANUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
675 W JOHNSON AVE, CHESHIRE, CT 06410-4503
(203) 250-1900
Mailing address
675 W JOHNSON AVE, CHESHIRE, CT 06410-4503

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CT
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/20/2024
Last updated
02/17/2026
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