Individual
KAYLA HETTRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
139 N MAIN ST, WEST HARTFORD, CT 06107-1264
(203) 819-2025
Mailing address
615 W JOHNSON AVE STE 20206410, CHESHIRE, CT 06410-4531
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA.001664
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982201927
—
CT
Enumeration date
06/01/2023
Last updated
06/01/2023
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