Individual
EMMA R CONQUEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 WINDING BROOK DR, GLASTONBURY, CT 06033-4337
(888) 754-0398
Mailing address
272 CONGDON ST, MIDDLETOWN, CT 06457-2066
(860) 876-3672
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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