Individual
ISAIAH JONATHAN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 HARTLAND ST STE 108, EAST HARTFORD, CT 06108-3259
(888) 754-0398
Mailing address
137 EVERGREEN AVE # 10, HARTFORD, CT 06105-4039
(860) 944-0001
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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