Individual
JONATHAN G OLIVEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BCBA, LBA
Contact information
Practice address
120 WEBSTER SQUARE RD, BERLIN, CT 06037-2329
(860) 420-3800
(860) 420-3801
Mailing address
120 WEBSTER SQUARE RD, BERLIN, CT 06037-2329
(860) 420-3800
(860) 420-3801
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1881
CT
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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