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 |