Individual
BLAKE MAMACLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., BCBA, LBA
Contact information
Practice address
845 BROOK ST, ROCKY HILL, CT 06067-3463
(888) 754-0398
Mailing address
845 BROOK ST, ROCKY HILL, CT 06067-3463
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2116
CT
Other
Enumeration date
05/29/2025
Last updated
04/20/2026
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