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1801141213
LISA BRAYTON
MERIDEN, CT
NPI
1801141213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CT 1-12-11822)
Enumeration Date
2012-07-23
Last Update Date
2012-07-23
Business Address
LISA BRAYTON BCBA
158 STATE ST
MERIDEN, CT 06450-3202
Phone number: 203-237-7835
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Mailing Address
LISA BRAYTON BCBA
158 STATE ST
MERIDEN, CT 06450-3202
Phone number: 203-237-7835
Copy
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