Individual
SEAN SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 OVERLAND AVE, CRANSTON, RI 02910-2517
(401) 585-3227
Mailing address
65 OVERLAND AVE, CRANSTON, RI 02910-2517
(401) 585-3227
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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