Individual
LESLIE JOVANA BASTIDA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2666 STATE ST UNIT A3, HAMDEN, CT 06517-2232
(888) 754-0398
Mailing address
285 FRANKLIN RD, HAMDEN, CT 06517-3616
(203) 668-8393
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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