Individual
CHRISTINA M KILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
885 BLOOMFIELD AVE, WINDSOR, CT 06095-2363
(860) 916-8289
Mailing address
885 BLOOMFIELD AVE, WINDSOR, CT 06095-2363
(860) 916-8289
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
244
CT
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740438597
BEHAVIOR ANALYST
CT
Enumeration date
12/28/2018
Last updated
12/28/2018
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