Individual
SARAH J LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
881 FARMINGTON AVE, WEST HARTFORD, CT 06119-1411
(860) 604-7950
Mailing address
881 FARMINGTON AVE, WEST HARTFORD, CT 06119-1411
(860) 604-7950
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12346
CT
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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