Individual
NIKALAS CAMPANELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 RAYMOND RD, WEST HARTFORD, CT 06107-2211
(203) 232-4398
Mailing address
258 MAPLE AVE, MERIDEN, CT 06450-4709
(860) 395-7762
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1888
CT
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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