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Individual

BELENDY JEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
165 ASHCRAFT RD, NEW LONDON, CT 06320-2731
(954) 673-5312
Mailing address
165 ASHCRAFT RD, NEW LONDON, CT 06320-2731
(954) 673-5312

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/19/2018
Last updated
01/19/2018
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