Individual
KIMBERLY AGOSTO CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 MAIN ST STE G, EAST HARTFORD, CT 06118-3239
(855) 989-5963
Mailing address
267 MAIN ST APT B, EAST HARTFORD, CT 06118-1861
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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