Katherine Elwood

Individual provider Active NPI Behavior Technician · Ledyard, CT

NPI 1023739265 · NPPES record last updated Sep 6, 2022

Key facts

NPI
1023739265
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3 Lee Brook Dr
Ledyard, CT 06339-1527
Phone
(860) 235-8379
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

3 Lee Brook Dr
Ledyard, CT 06339-1527

Mailing address

3 Lee Brook Dr
Ledyard, CT 06339-1527
Phone (860) 235-8379

Other providers in Ledyard, CT

All providers in Ledyard, CT · Behavior Technician in Connecticut

Sources for this page

Verify at the official NPI Registry.