NPI 1083263669

Kerri Booth

Practitioner Behavior Analyst Glastonbury, CT

Practice location

Address: 2300 Main St, Glastonbury, CT 06033-2218
Phone: (860) 430-1762

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 86 (CT)

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Registry record

NPI: 1083263669
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Sep 2019
Record last updated: 6 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.