Individual
RATTANAPORN FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
Mailing address
140A HERITAGE VLG, SOUTHBURY, CT 06488-1604
17045024152
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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