Olivia Elise Cratty

Individual provider Active NPI Behavior Technician · Bristol, CT

NPI 1245080183 · NPPES record last updated Mar 25, 2024

Key facts

NPI
1245080183
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
78 Brook St
Bristol, CT 06010-5405
Phone
(570) 540-7250
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
Yes

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

78 Brook St
Bristol, CT 06010-5405

Mailing address

78 Brook St
Bristol, CT 06010-5405
Phone (570) 540-7250

Other providers in Bristol, CT

All providers in Bristol, CT · Behavior Technician in Connecticut

Sources for this page

Verify at the official NPI Registry.