Ty Christopher Mencio
Behavior Technician in Torrington, CT. Individual provider (NPI-1).
NPI number1295595445
StatusActive
Last updated in NPPESMar 21, 2024
Details
- NPI
- 1295595445
- Entity type
- Individual (NPI-1)
- Name
- Ty Christopher Mencio
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 21, 2024
- Certification date
- Mar 21, 2024
- Last updated
- Mar 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
113 Sunny Ln Apt DTorrington, CT 06790-3534
Phone 203-600-4032
Mailing address
113 Sunny Ln Apt DTorrington, CT 06790-3534
Phone 203-600-4032
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