Individual
TRACSTON RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 HARTLAND ST STE 108, EAST HARTFORD, CT 06108-3259
(877) 943-5655
Mailing address
1331 BURNSIDE AVE APT B7, EAST HARTFORD, CT 06108-1577
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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