Individual
MISS STEPHANIE LYNN BRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
437 NAUBUC AVE STE 105, GLASTONBURY, CT 06033-1081
(860) 430-1340
Mailing address
10 PLEASANT RD, ENFIELD, CT 06082-6034
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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