Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | CT |
NPI | 1003456211 |
---|---|
Provider Name | Katalin Ann Kappel |
First Address | Milford, CT 06461-2401 |
Second Address | Milford, CT 06461-2401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2020 |
Last Update Date | 15/01/2020 |