Individual
LAURA M CRUMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 ASHWOOD LN, BROOKFIELD, CT 06804-3239
(203) 501-9131
Mailing address
3 ASHWOOD LN, BROOKFIELD, CT 06804-3239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295397081
MEDICATE
CT
Enumeration date
11/14/2020
Last updated
11/14/2020
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