Carissa Leilani Brodeur

NPI #1174121057 in Putnam, Connecticut

Provider Information

NPI Number: 1174121057
Entity Type: Individual
Name: Carissa Leilani Brodeur
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 13, 2020
Last Updated: Oct 13, 2020

Practice Location

Address: 62 PROVIDENCE PIKE STE E
City: Putnam
State: Connecticut
ZIP Code: 06260-2415
Phone: (888) 805-0759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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