Individual
KIMBERLY RENONCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 CHAPMAN ST, NEWINGTON, CT 06111-1702
(860) 798-8409
Mailing address
67 CHAPMAN ST, NEWINGTON, CT 06111-1702
(860) 798-8409
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
191
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2015
Last updated
03/10/2020
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