Individual
JONNY'S JARA-SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 PONDVIEW TER, EAST HAVEN, CT 06512-5400
(203) 507-8895
Mailing address
23 PONDVIEW TER, EAST HAVEN, CT 06512-5400
(203) 507-8895
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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