Deborah Elizabeth Beach
Behavior Technician in West Hartford, CT. Individual provider (NPI-1).
NPI number1629623970
StatusActive
Last updated in NPPESAug 5, 2019
Details
- NPI
- 1629623970
- Entity type
- Individual (NPI-1)
- Name
- Deborah Elizabeth Beach
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2019
- Last updated
- Aug 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 026302801 | CT | Yes |
Practice location
101 South StWest Hartford, CT 06110-1967
Phone 860-578-1300
Mailing address
28 Sanford StHartford, CT 06120-1915
Phone 860-869-1936
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