Marisa Geddes
Individual provider Active NPI Behavior Analyst · Thomaston, CT
NPI 1831925312 · NPPES record last updated Sep 11, 2024
Key facts
- NPI
- 1831925312
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1933 (CT)
- Practice address
- 366 Walnut Hill Rd
Thomaston, CT 06787-1145 - Phone
- (203) 206-3573
- NPI assigned
- Sep 11, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1933 | CT | Yes |
Addresses
Primary practice location
366 Walnut Hill Rd
Thomaston, CT 06787-1145
Mailing address
366 Walnut Hill Rd
Thomaston, CT 06787-1145
Other providers in Thomaston, CT
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- Donald S Fulton OD
- Rene Drozdziel
- Jennifer Fayer
- Kerin B Foley
- Siena Giordano
- Shannon Haluchak
- Nicole Hennessy
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All providers in Thomaston, CT · Behavior Analyst in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.