Individual
BRENDEN BUDDY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
144 MAIN ST STE G, EAST HARTFORD, CT 06118-3239
(888) 754-0398
Mailing address
116 BERLIN AVE, SOUTHINGTON, CT 06489-3222
(860) 329-5461
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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