Krista Weaver

NPI #1023608460 in Putnam, Connecticut

Provider Information

NPI Number: 1023608460
Entity Type: Individual
Name: Krista Weaver
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 20, 2021
Last Updated: Jan 20, 2021

Practice Location

Address: 62 PROVIDENCE PIKE
City: Putnam
State: Connecticut
ZIP Code: 06260-2412
Phone: (888) 805-0759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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