Mallory Streat

NPI #1992355549 in Middletown, Connecticut

Provider Information

NPI Number: 1992355549
Entity Type: Individual
Name: Mallory Streat
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 16, 2019
Last Updated: Sep 16, 2019

Practice Location

Address: 101 CENTERPOINT DR
City: Middletown
State: Connecticut
ZIP Code: 06457-7568
Phone: (818) 241-6780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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