Individual
JONATHAN BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 WHITING ST, NEW BRITAIN, CT 06051-3184
(888) 754-0398
Mailing address
96 S BURRITT ST, NEW BRITAIN, CT 06052-1208
(860) 914-8319
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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