Individual
JEAN M STANIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 BLOOMFIELD AVE, WINDSOR, CT 06095-2363
(774) 444-8248
Mailing address
70 COLUMBA ST APT C, CHICOPEE, MA 01020-1472
(774) 444-8248
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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