Individual
TABITHA ANN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 ROBIN LN, 10, NORTHFORD, CT 06472
(603) 762-1627
Mailing address
9 ROBIN LN, NORTHFORD, CT 06472-1426
(603) 762-1627
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
CT
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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