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Organization

CONNECT & GROW THERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHEISSY R PUENTE BOLIVAR (OWNER)
(727) 221-1803
Entity
Organization

Contact information

Practice address
10805 LEEDS RD, PORT RICHEY, FL 34668-2672
(727) 221-1803
Mailing address
10805 LEEDS RD, PORT RICHEY, FL 34668-2672
(727) 221-1803

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
09/04/2024
Last updated
09/04/2024
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