Coleen E Brakenwagen
NPI #1972171197 in Putnam, Connecticut
Provider Information
- NPI Number
- 1972171197
- Entity Type
- Individual
- Name
- Coleen E Brakenwagen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Assistant Behavior Analyst
- Enumeration Date
- Jun 14, 2021
- Last Updated
- Jun 14, 2021
Practice Location
- Address
- 62 PROVIDENCE PIKE STE E
- City
- Putnam
- State
- Connecticut
- ZIP Code
- 06260-2415
- Phone
- (888) 805-0759
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assistant Behavior Analyst |
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