Individual
KAYLA NASCIMENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58 POMERAUG ROAD, WOODBURY, CT 06798-0679
(203) 313-5537
Mailing address
58 POMERAUG ROAD, WOODBURY, CT 06798
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
769
CT
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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