Individual
JOHANNA PRISCILA TOLEDO-BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 N MOUNTAIN RD STE A101, NEWINGTON, CT 06111-1431
(860) 233-3033
(858) 924-0244
Mailing address
28 HARKER AVE, WATERBURY, CT 06705-2823
(203) 690-9128
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12259493
CT
Other
Enumeration date
02/21/2020
Last updated
06/07/2022
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