Individual
JASMINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 FARNHAM DR, EAST HARTFORD, CT 06118-3023
(860) 709-4043
Mailing address
15 FARNHAM DR, EAST HARTFORD, CT 06118-3023
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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