Individual
EVANGELINA BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
(860) 613-9952
Mailing address
204 MISTY HILLS LN, CARMEL, NY 10512-6156
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31941
CT
Other
Enumeration date
12/21/2018
Last updated
02/03/2023
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