Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maguedalena Manoucheka Supreme

Individual provider Behavior Technician · NPI 1477366995

Maguedalena Manoucheka Supreme is a Behavior Technician in Hartford, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2025

Practice location Address checks out

250 Main St Apt 812
Hartford, CT 06106-1875
Phone: (305) 399-9176
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CT)

Record details

NPI number1477366995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 29, 2025
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

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