License Details
State of Connecticut
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Name
Name
BREANNAH KATRICE DAVIS-BLOOM
License Information
License Information
License Type
License Number
Expiration Date
Granted Date
License Name
License Status
Licensure Actions or Pending Charges
Behavior Analyst
1133
10/31/2021
03/12/2021
BREANNAH KATRICE DAVIS-BLOOM
INACTIVE
LAPSED DUE TO NON-RENEWAL
None