Individual
AMANDA LEE GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
122 COUNTRY LN, HEBRON, CT 06248-1459
(860) 908-1930
Mailing address
20 WESTSIDE BLVD, BURLINGTON, CT 06013-2523
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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