Individual
MISS GUADALUPE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
102 CARRIAGE CROSSING LN, MIDDLETOWN, CT 06457-5830
(203) 430-8063
Mailing address
102 CARRIAGE CROSSING LN, MIDDLETOWN, CT 06457-5830
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1432
CT
Other
Enumeration date
01/25/2023
Last updated
05/12/2025
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