Individual
JAHYRA NIA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 PARK PL APT 12K, HARTFORD, CT 06106-5025
(860) 770-8805
Mailing address
24 PARK PL APT 12K, HARTFORD, CT 06106-5025
(860) 770-8805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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