Individual
SANDRA MADAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SOUTH ST, WEST HARTFORD, CT 06110-1967
(860) 989-4765
Mailing address
5 CRESTVIEW RD, TARIFFVILLE, CT 06081-9603
(860) 989-4765
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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