Individual
SHANI WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 MAIN ST, GLASTONBURY, CT 06033-1091
(860) 430-1340
(860) 812-2399
Mailing address
2800 MAIN ST, GLASTONBURY, CT 06033-1091
(860) 430-1340
(860) 812-2399
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-129731
CT
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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