Individual
SHANTAE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 WHITING ST, NEW BRITAIN, CT 06051-3184
(888) 754-0398
Mailing address
950 FARMINGTON AVE APT A19, NEW BRITAIN, CT 06053-1331
(888) 754-0398
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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