Individual
RITA POLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 MANTON AVE, PROVIDENCE, RI 02909-5633
(401) 274-6310
Mailing address
610 MANTON AVE, PROVIDENCE, RI 02909-5633
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00442
RI
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/12/2022
Last updated
04/20/2026
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