Individual
ELIZABETH C NULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
830 IVES ROW, CHESHIRE, CT 06410-3945
(860) 299-5641
Mailing address
830 IVES ROW, CHESHIRE, CT 06410-3945
(860) 299-5641
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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