Individual
KATRINA E. PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 PINE ST, SANDY HOOK, CT 06482-1104
(203) 667-9875
Mailing address
5 PINE ST, SANDY HOOK, CT 06482-1104
(203) 667-9875
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-04-1193
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
11/28/2017
Last updated
11/28/2017
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