Individual
MISS AMY LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
144 MAIN ST STE G, EAST HARTFORD, CT 06118-3239
(401) 632-7666
Mailing address
52 RUTH DR, PLAINFIELD, CT 06374-1834
(401) 632-7666
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
03/31/2021
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