Jadalise L Devone
Behavior Technician in East Hartford, CT. Individual provider (NPI-1).
NPI number1609613900
StatusActive
Last updated in NPPESJul 12, 2024
Details
- NPI
- 1609613900
- Entity type
- Individual (NPI-1)
- Name
- Jadalise L Devone
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2024
- Certification date
- Jul 12, 2024
- Last updated
- Jul 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
77 Hartland St Ste 108East Hartford, CT 06108-3259
Phone 888-754-0398
Mailing address
33 Mahl AveHartford, CT 06120-2311
Phone 860-994-0292
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