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Individual

KELLY RAE PISAPIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
316 MAIN ST, FARMINGTON, CT 06032-2961
(860) 674-1824
Mailing address
4 RICHMOND RD, WEST HARTFORD, CT 06117-1632
(860) 674-1824

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CT

Other

Enumeration date
06/11/2024
Last updated
06/11/2024
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