NPI 1205341138

Marcus Williams

Practitioner Behavior Technician Groton, CT

Practice location

Address: 220 Route 12 STE 205, Groton, CT 06340-3414
Phone: (877) 315-8080

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-16-27657 (CT)

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Registry record

NPI: 1205341138
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Dec 2017
Record last updated: 14 Dec 2017

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.