Individual
HEATHER EVANGELISTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
19 S GEORGE WASHINGTON RD, ENFIELD, CT 06082-4541
(860) 462-7322
Mailing address
282 FALL MOUNTAIN RD, BRISTOL, CT 06010-5983
(203) 768-7802
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
187
CT
Other
Enumeration date
04/03/2016
Last updated
12/05/2022
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