Travis Farrar

NPI #1952077604 in Putnam, Connecticut

Provider Information

NPI Number: 1952077604
Entity Type: Individual
Name: Travis Farrar
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 20, 2021
Last Updated: Sep 28, 2023

Practice Location

Address: 79 MECHANICS ST APT 2
City: Putnam
State: Connecticut
ZIP Code: 06260-1318
Phone: (774) 601-3258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Behavior Technician	106S00000X	Primary

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