Individual
JADALISE L DEVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 HARTLAND ST STE 108, EAST HARTFORD, CT 06108-3259
(888) 754-0398
Mailing address
33 MAHL AVE, HARTFORD, CT 06120-2311
(860) 994-0292
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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