Individual
KELLYN ANN GOLDBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
46 W AVON RD STE 202, AVON, CT 06001-3679
(860) 673-0145
Mailing address
285 MAIN ST APT C4, FARMINGTON, CT 06032-2952
(860) 987-7766
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1076
CT
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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