Individual
AMELIS EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 HARTLAND ST STE 108, EAST HARTFORD, CT 06108-3259
(888) 754-0398
Mailing address
218 COUNTRY CLUB RD, WATERBURY, CT 06708-3317
(203) 560-6680
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/30/2024
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