Individual
JUSTINE ANNA RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA, LBA
Contact information
Practice address
835 BLOOMFIELD AVE, WINDSOR, CT 06095-2363
(860) 413-9538
Mailing address
18 BILLINGS RD, SOMERS, CT 06071-1924
(617) 291-6149
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2330
MA
103K00000X
Behavior Analyst
Primary
84
CT
Other
Enumeration date
11/14/2010
Last updated
08/22/2024
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