Individual
KALILAH DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 W MAIN ST, PLAINVILLE, CT 06062-1904
(860) 351-5407
Mailing address
1156 MATIANUCK AVE, WINDSOR, CT 06095-3214
(860) 436-0293
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24648
CT
Other
Enumeration date
06/11/2017
Last updated
06/11/2017
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