Individual
ANTINISH HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24B CATHERINE WAY, NEW HAVEN, CT 06515-6149
(203) 414-9616
Mailing address
24B CATHERINE WAY, NEW HAVEN, CT 06515-6149
(203) 414-9616
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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