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Individual

TAYLOR LEIGH WEIDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BT

Contact information

Practice address
2080 SILAS DEANE HWY, ROCKY HILL, CT 06067-2362
(800) 860-6656
Mailing address
37 SIDOR DR, ENFIELD, CT 06082-5027
(860) 894-9010

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/17/2023
Last updated
01/10/2024
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