Individual
MARQUASHA PETAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2666 STATE ST STE A3, HAMDEN, CT 06517-2232
(188) 875-4039
Mailing address
22 CASSIUS ST, NEW HAVEN, CT 06519-2313
(917) 896-0535
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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