Individual
JOANNE TEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SOUTH ST, HARTFORD, CT 06110-1967
(860) 578-1300
Mailing address
119 PITKIN ST, MANCHESTER, CT 06040-4460
(860) 803-0209
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
993
CT
Other
Enumeration date
09/04/2018
Last updated
10/08/2020
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