Most Relevant Information
Provider Data
| NPI Number: | 1003469941 |
| Provider Name: | CAROLE MCDONALD BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 000715 |
Most Important Dates
| Enumeration Date: | 07/19/2019 |
| Last Updated: | 07/19/2019 |
Provider Practice Location
2300 MAIN ST
GLASTONBURY
CT
060332218
Practice Location Phone/Fax
| Phone: | 8604301762 |
| Fax: |
Provider Mailing Location
2300 MAIN ST
GLASTONBURY
CT
060332218
Provider Mailing Phone/Fax
| Phone: | 8604301762 |
| Fax: |