Individual
NOVYANNA AIREL COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 SALEM TPKE STE 200, NORWICH, CT 06360-6484
(860) 325-0367
Mailing address
4 LEDYARD LN, GALES FERRY, CT 06335-1453
(860) 325-0367
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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