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1265261952
KATELYN RUSSELL
NEWINGTON, CT
NPI
1265261952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CT 1925)
Enumeration Date
2024-07-30
Last Update Date
2024-07-30
Business Address
KATELYN RUSSELL
445 WILLARD AVE BLDG 2A
NEWINGTON, CT 06111-2318
Phone number: 860-798-8409
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Mailing Address
KATELYN RUSSELL
36 SELMA AVE
DERBY, CT 06418-2231
Phone number: 860-748-5264
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