Edwin Raul Dejesus Valid NPI
Individual provider · Behavior Technician · Middletown, CT
- NPI
- 1952932279
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-01-27
- Last updated
- 2020-01-27
Practice location
101 Centerpoint Dr Ste 243
Middletown, CT 06457-7568
(855) 295-3276