Healthcare Provider Details

I. General information

NPI: 1801672225
Provider Name (Legal Business Name): LAURA TURNER PH.D, BCBA-D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2023
Last Update Date: 09/01/2023
Certification Date: 09/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 FARMINGTON AVE
FARMINGTON CT
06032-1728
US

IV. Provider business mailing address

124 TUNXIS RD
WEST HARTFORD CT
06107-2953
US

V. Phone/Fax

Practice location:
  • Phone: 860-495-0126
  • Fax:
Mailing address:
  • Phone: 607-205-2909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4385
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBA-000345
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: