Individual
ALEXANDRA PRATT JOE PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 MAIN ST, GLASTONBURY, CT 06033-2218
(860) 271-9792
Mailing address
31 NOYES AVE, STONINGTON, CT 06378-2745
(860) 271-9792
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB628113
RBT
CT
Enumeration date
03/05/2021
Last updated
03/05/2021
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