Individual
DEBORAH ELIZABETH BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SOUTH ST, WEST HARTFORD, CT 06110-1967
(860) 578-1300
Mailing address
28 SANFORD ST, HARTFORD, CT 06120-1915
(860) 869-1936
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
026302801
CT
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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