Mishel Pottackal
Behavior Technician in Manchester, NH. Individual provider (NPI-1).
NPI number1316723331
StatusActive
Last updated in NPPESSep 5, 2023
Details
- NPI
- 1316723331
- Entity type
- Individual (NPI-1)
- Name
- Mishel Pottackal
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2023
- Certification date
- Sep 5, 2023
- Last updated
- Sep 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-23-264281 | CT | Yes |
Practice location
373 S Willow St Ste 266Manchester, NH 03103-5751
Phone 877-315-8080
Mailing address
373 S Willow St Ste 266Manchester, NH 03103-5751
Phone 203-970-8677
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All 119 Behavior Technician providers in Manchester · All 5,272 providers in Manchester
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