Rebecca S Larose
NPI #1528634110 in Mystic, Connecticut
Provider Information
- NPI Number
- 1528634110
- Entity Type
- Individual
- Name
- Rebecca S Larose
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 3, 2021
- Last Updated
- Jun 3, 2021
Practice Location
- Address
- 4 BROADWAY AVENUE EXT STE 3
- City
- Mystic
- State
- Connecticut
- ZIP Code
- 06355-2875
- Phone
- (860) 980-3233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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