Emma Rose Northridge

NPI #1730905993 in Putnam, Connecticut

Provider Information

NPI Number: 1730905993
Entity Type: Individual
Name: Emma Rose Northridge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 3, 2024
Last Updated: Dec 3, 2024

Practice Location

Address: 115 WOODSTOCK AVE
City: Putnam
State: Connecticut
ZIP Code: 06260-1431
Phone: (860) 888-0740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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