Individual
TENIA SPRUILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 ALEXANDER AVE APT A4, WATERBURY, CT 06705-3062
(860) 801-7279
Mailing address
142 ALEXANDER AVE APT A4, WATERBURY, CT 06705-3062
(860) 801-7279
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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