Most Relevant Information
Provider Data
NPI Number: | 1003293572 |
Provider Name: | DONALD HERNBERG |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: | 082772436 |
Most Important Dates
Enumeration Date: | 05/04/2015 |
Last Updated: | 05/04/2015 |
Provider Practice Location
356 WINDHAM RD
WILLIMANTIC
CT
062263530
Practice Location Phone/Fax
Phone: | 8603014468 |
Fax: |
Provider Mailing Location
356 WINDHAM RD
WILLIMANTIC
CT
062263530
Provider Mailing Phone/Fax
Phone: | 8603014468 |
Fax: | 8604568968 |