Individual
MARIA K BASTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 N MAIN ST, WEST HARTFORD, CT 06117-2515
(858) 216-8837
Mailing address
345 N MAIN ST, WEST HARTFORD, CT 06117-2515
(858) 216-8837
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
00019673
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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