Individual
MICHAEL BELGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 FARMINGTON AVE, FARMINGTON, CT 06032-1573
(818) 241-6780
(800) 819-7806
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-4066
(818) 241-6780
(800) 819-7806
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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