DR. Keisha Powell, PHD, CAS, ABS, ATS

NPI #1831519016 in Broad Brook, Connecticut

Provider Information

NPI Number: 1831519016
Entity Type: Individual
Name: DR. Keisha Powell, PHD, CAS, ABS, ATS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: PHD, CAS, ABS, ATS
Enumeration Date: Apr 25, 2014
Last Updated: Oct 9, 2024

Practice Location

Address: 3 JESSIE LN
City: Broad Brook
State: Connecticut
ZIP Code: 06016-9596
Phone: (860) 983-8112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Specialist	174400000X	Primary

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Organizations

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