Individual
KATIE LYNN CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
24 PENNY CORNER RD, PORTLAND, CT 06480-1625
(860) 681-4153
Mailing address
101 SOUTH ST FL 2, WEST HARTFORD, CT 06110-1967
(860) 681-7025
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1365
CT
Other
Enumeration date
08/30/2012
Last updated
01/31/2022
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