Individual
ANDREW LAQUARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2666 STATE ST, HAMDEN, CT 06517-2232
(860) 544-0356
Mailing address
140 MILL ST APT 207, EAST HAVEN, CT 06512-1042
(516) 469-2644
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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