Individual
MRS. DEANNA BISAILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
120 HOLCOMB ST, HARTFORD, CT 06112-1529
(860) 965-8218
Mailing address
120 HOLCOMB ST, HARTFORD, CT 06112-1529
(860) 965-8218
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15864
CT
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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