Individual
MR. TIMOTHY NOLAN KUMNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., BCBA, LBA
Contact information
Practice address
86 CHURCH ST, WETHERSFIELD, CT 06109-2310
(860) 680-6114
Mailing address
86 CHURCH ST, WETHERSFIELD, CT 06109-2310
(860) 680-6114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
88
CT
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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