Most Relevant Information
Provider Data
| NPI Number: | 1003656364 |
| Provider Name: | GISSELLE ADRIANA DE LEON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/24/2024 |
| Last Updated: | 05/24/2024 |
Provider Practice Location
2666 STATE ST STE A3
HAMDEN
CT
065172232
Practice Location Phone/Fax
| Phone: | 8887540398 |
| Fax: |
Provider Mailing Location
2666 STATE ST STE A3
HAMDEN
CT
065172232
Provider Mailing Phone/Fax
| Phone: | 8887540398 |
| Fax: |