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Individual
VANETTA LAROSA
Active
Individual
VANETTA LAROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA-D
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
026443
NY
103K00000X
Behavior Analyst
Primary
1-03-1115
NY
103T00000X
Psychologist
026443
NY
103TB0200X
Cognitive & Behavioral Psychologist
026443
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
026443
NY
Other
Enumeration date
05/24/2013
Last updated
02/26/2025
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