Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 550 | CT |
NPI | 1003398801 |
---|---|
Provider Name | Felicia Palmer |
First Address | Meriden, CT 06450-3574 |
Second Address | Meriden, CT 06450-3574 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2018 |
Last Update Date | 29/08/2018 |