Individual
JAMES CLARENCE ROBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 SALEM TPKE STE 200, NORWICH, CT 06360-6484
(860) 222-6558
Mailing address
45 MAIN ST APT 402, PLAINFIELD, CT 06374-2220
(860) 222-6558
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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