Individual
KELLY RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 SKIFF ST, HAMDEN, CT 06517-1016
(860) 707-9733
Mailing address
3124 TOWN PL, MIDDLETOWN, CT 06457-1754
(860) 707-9733
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1237
CT
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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